Rank 01Games like ANEURISM IV
- 21 games
- Updated Oct 19, 2026
Players who liked ANEURISM IV also play
The closest matches to ANEURISM IV: Rust, Zombie Survival Game Online, The Forever Winter, Kenshi, and Cruelty Squad. Ranked by imho.run from Steam co-play data, shared tags and reviews.
- Rank 01
Rank 02Why this
Shares survival management and open world exploration with ANEURISM IV.
- $9.99 (Price checked Oct 31)
- Deck Playable
- 2023
Rank 03Why this
Shares permadeath and crafting with ANEURISM IV.
- $29.99 (Price checked Nov 4)
- 2024
Rank 04 
Kenshi
Why this: Shares open world exploration with ANEURISM IV.
Rank 05 
Cruelty Squad
Why this: Also Dystopian and Surreal, like ANEURISM IV.
Rank 06 
Abiotic Factor
Why this: Same atmospheric mood as ANEURISM IV.
Rank 07 Rank 08 
Pathologic 3
Why this: Shares resource management with ANEURISM IV.
The full ranked list: top 24 games like ANEURISM IV
Best match first, as plain text. The same list for AI assistants:
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- 2Zombie Survival Game Online
Shares survival management and open world exploration with ANEURISM IV.
- 70% of 173 reviews
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- Released: 2025
- Developer: Vellocet
- Price: $9.99checked Nov 4
- Steam Deck: Deck Playable
- 78% of 4,788 reviews
- Genres: Action, Simulation, RPG
- Platforms: Windows, macOS
Players highlight
- Creative crafting from garbage into weapons and meth
- Deep emergent storytelling from player interactions
- Deeply immersive dystopian setting
- Atmospheric
- Bleak
- Brutal
More games like ANEURISM IV, sliced differently
Reviewers mention these as similar to ANEURISM IV
Surfaced from review text: when other players write 'if you liked X, try Y', we catch the name and resolve it back to a Steam game.
Golden Light
Why this: Same atmospheric mood as ANEURISM IV.
Sorry We're Closed
Why this: Shares resource management with ANEURISM IV.
The Elder Scrolls V: Skyrim
Why this: Shares open world exploration with ANEURISM IV.
Cheaper alternatives
Games in the same vein priced at least 40% below ANEURISM IV at current Steam store prices.
Don't Starve
Why this: Shares permadeath with ANEURISM IV.
Anarchy: Wolf's law
Why this: Shares resource management with ANEURISM IV.
Mage Arena
Why this: Shares crafting with ANEURISM IV.
About ANEURISM IV
The closest matches to ANEURISM IV: Rust, Zombie Survival Game Online, The Forever Winter, Kenshi, and Cruelty Squad. Ranked by imho.run from Steam co-play data, shared tags and reviews.
If ANEURISM IV is your kind of game, the closest matches are Rust, Zombie Survival Game Online and The Forever Winter — picked from the ranked list below. Reviewers describe it as atmospheric, bleak and brutal, and single out its crafting and emergent narrative. Each pick is ranked by what players of this game also play, shared genres and tags, and review-mined similarity — not a generic popularity list.
ANEURISM IV is an Action-Simulation-RPG developed and published by Vellocet, set in a dystopian cityscape. The game emphasizes emergent storytelling where player interactions drive the narrative, supported by permadeath, open-world exploration, and a player-driven economy. Crafting is central, allowing players to repurpose basic materials into functional items. The setting is described by players as deeply immersive, dark, and gritty, with a mature tone that blends atmospheric elements with psychological horror undertones. Online cooperative play enables shared survival in the decaying world. Reviewers highlight that the experience is challenging, bleak, and time-intensive, with emergent humor arising organically from player behavior. Players appreciate the freedom to pursue any role within the environment, whether heroic, antagonistic, or purely survivalist. Currently available on Steam at $9.99, the game holds a 78% positive rating from 4,788 reviews, and is marked as playable on Steam Deck.
About ANEURISM IV: A dystopian simulator where your choices shape a decaying city. Join other players to protect the metropolis from ruin, hasten its downfall, or simply work in the factories. With no set goals or rules, every action has consequences in a world teetering on the brink.
Is ANEURISM IV worth buying?
Recent reviews are much worse
A summary of what players say, not a promise you'll like it. Every signal is listed below.
- 78% of 4,788 Steam reviews are positive.
- Last 30 days: 63% positive across 75 new reviews, 15 points below its all-time score.
- Price: $9.99 (checked Nov 9).
- People who recommend it had played a median of 24 h when they wrote their review.
- Critics had played a median of 30 h before turning negative, so complaints are about the long run, not the first hours.
- Steam Deck Playable: works, with some rough edges.
What fans praise · Themes mined from positive reviews
- Creative crafting from garbage into weapons and meth
- Deep emergent storytelling from player interactions
- Deeply immersive dystopian setting
- Emergent humor and storytelling
Top critical reviews
The most up-voted negative English reviews in our sample, quoted as written.
“They just fired the community manage AyAyRon, so that's great. Except before he was fired he said this: "Based on what I saw in my role, Aneurism IV is complete but will receive updates and service for a very long time. There has and…”
“It gets worse and worse with EVERY update. Seriously. The balancing of the game is absolutely atrocious.”
People who play it also play: Rust, Zombie Survival Game Online, The Forever Winter
Frequently asked about ANEURISM IV
Can I run it?
Does ANEURISM IV run on Steam Deck?
ANEURISM IV is rated Playable on Steam Deck — it runs, but expect some manual adjustments (control remapping, text size, or graphics settings) for the best experience.
How much does ANEURISM IV cost?
ANEURISM IV is listed on Steam at 9.99 USD (current store price; Steam sales may reduce this temporarily).
Does ANEURISM IV have multiplayer or co-op?
Yes — ANEURISM IV supports multi-player play according to its Steam store listing (Multi-player, Online PvP, LAN PvP).
What games are most similar to ANEURISM IV?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside ANEURISM IV are Rust, Zombie Survival Game Online, The Forever Winter.
Who developed ANEURISM IV?
ANEURISM IV was developed by Vellocet.