Games like ANEURISM IV
If ANEURISM IV is your kind of game, the closest matches are Modiverse, PIRATECRAFT and Dead Event — picked from the ranked list below. Reviewers single out its deeply immersive dystopian setting, atmospheric and bleak. 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.
Get personalized picks →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.

Players who liked ANEURISM IV also play
Steam players who put hours into ANEURISM IV also tend to own these titles — a signal called collaborative filtering. imho.run cross-references millions of library ownership patterns to surface games whose real audiences overlap, regardless of whether their genre tags match.
Modiverse
WHY THIS
Top pick for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action with ANEURISM IV.
An open multiplayer sandbox game; includes tools, props, levels, NPCs, character models, game-modes and much more! Make your own using our mod kit!
PIRATECRAFT
WHY THIS
Second-strongest match for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action with ANEURISM IV.
PIRATECRAFT is a game battle-royale (survival, action, first person shooter) for single or multiplayer game
Dead Event
WHY THIS
Shares a bleak mood with ANEURISM IV.
Third-strongest match for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action and Simulation with ANEURISM IV.
Dead Event is a indie RPG survival game in which the player grows up as a creature. The creature will grow bigger overtime and with interactions in-game also lose some growth on death. Form a colony or hunt alone, become part of a player-created ecosystem. Survive, eat or be eaten...
friends world
WHY THIS
Ranked #4 for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action with ANEURISM IV.
This is a voxel style sandbox game that focuses on survival. You can do anything inside and destroy any block. and cooperatively survive and fight with friends in a world. If you like playing Minecraft, this is a game you must not miss.
Backrooms: Savior
WHY THIS
Ranked #5 for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action and RPG with ANEURISM IV.
That's a co-op horror exploration shooter set in the Backrooms. This time, you won’t just hide—grab your weapon and fight back against the entities. Explore classic and original levels, scavenge supplies, rescue survivors, and survive. Ammo is scarce. Noise is deadly. This time, fear goes both ways.
Primal Survival Wars
WHY THIS
Ranked #6 for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action and Simulation with ANEURISM IV.
Build your own Settlement of Ancient People. Survive, Hunt, Gather, Craft Tools, Fight, Research new technologies and face the challenges that the environment throws at you.
Cruelty Squad
WHY THIS
Shares a dark mood with ANEURISM IV.
Ranked #7 for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action and Simulation with ANEURISM IV.
An immersive power fantasy simulator with tactical stealth elements set in a sewage infused garbage world
Rust
WHY THIS
Shares survival management and a stressful mood with ANEURISM IV.
Ranked #8 for ANEURISM IV fans by collaborative filtering across millions of Steam libraries. Shares Action with ANEURISM IV.
The only aim in Rust is to survive. Everything wants you to die - the island’s wildlife, other inhabitants, the environment, and other survivors. Do whatever it takes to last another night.
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.
Pathologic 3
WHY THIS
Shares resource management and atmospheric with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Simulation and RPG with ANEURISM IV.
In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.
Rust
WHY THIS
Shares survival management and a stressful mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Action with ANEURISM IV.
The only aim in Rust is to survive. Everything wants you to die - the island’s wildlife, other inhabitants, the environment, and other survivors. Do whatever it takes to last another night.
Minecraft: Story Mode - A Telltale Games Series
WHY THIS
Reviewers of ANEURISM IV cross-mention this title as a similar play.
Episode 1 is now FREE - for a limited time! In Minecraft: Story Mode, playing as either a male or female hero named 'Jesse,' you’ll embark on a perilous adventure across the Overworld, through the Nether, to the End, and beyond.
Golden Light
WHY THIS
Shares an atmospheric mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Action with ANEURISM IV.
Eat weapons, be scared and question your own mind in this Survival-Horror FPS Prop Hunt Roguelike about meat. Walls are watching you!
Lorn's Lure
WHY THIS
Shares an atmospheric mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Action with ANEURISM IV.
An android is led through a vast structure by a glitch in his visual system. Lorn's Lure is an atmospheric narrative first-person platformer with novel climb-anything mechanics and modernized retro 3D graphics.
El Paso, Elsewhere
WHY THIS
Shares an atmospheric mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Action with ANEURISM IV.
STAKES. GUNS. SLOW-MO. Fight werewolves and vampires in a reality-shifting motel. Dive through barricades to escape the grasp of evil puppets. Destroy the villain you loved. A new, third-person love letter to classic shooters. Neo-noir never looked so good.
Sorry We're Closed
WHY THIS
Shares resource management and an atmospheric mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Action with ANEURISM IV.
Sorry We're Closed is an eccentric story-driven survival horror game about demons, angels and what happens when both sides collide. A mix of classic fixed-camera exploration and arcade-style shooting where Michelle must use her Third Eye to see between worlds, uncover secrets and solve puzzles.
Arctic Eggs
WHY THIS
Shares resource management and an atmospheric mood with ANEURISM IV.
Reviewers of ANEURISM IV cross-mention this title as a similar play. Shares Simulation with ANEURISM IV.
Eggs: perfection in two parts. The simple whites. The sublime yolk. Each the lesser without its partner. Chorus and verse. A symphony of flavor. The catchy tune reminding us of warm baths and late-night movies. The elevator music to whatever lies beyond.
Cheaper alternatives
Games in the same vein priced at least 40% below ANEURISM IV at current Steam store prices.
Garry's Mod
WHY THIS
Priced ~50% under ANEURISM IV on Steam right now. Shares Simulation with ANEURISM IV.
Garry's Mod is a physics sandbox. There aren't any predefined aims or goals. We give you the tools and leave you to play.
Vampire Survivors
WHY THIS
Priced ~50% under ANEURISM IV on Steam right now. Shares Action and RPG with ANEURISM IV.
Mow down thousands of night creatures and survive until dawn! Vampire Survivors is a gothic horror casual game with rogue-lite elements, where your choices can allow you to quickly snowball against the hundreds of monsters that get thrown at you. Be the bullet hell!
Titanfall® 2
WHY THIS
Priced ~55% under ANEURISM IV on Steam right now. Shares Action with ANEURISM IV.
Respawn Entertainment gives you the most advanced titan technology in its new, single player campaign & multiplayer experience. Combine & conquer with new titans & pilots, deadlier weapons, & customization and progression systems that help you and your titan flow as one unstoppable killing force.
Cookie Clicker
WHY THIS
Priced ~50% under ANEURISM IV on Steam right now. Shares Simulation with ANEURISM IV.
An idle game about making cookies! Originally released in 2013 on the web, and actively developed since then. This is the official version for Steam.
POSTAL 2
WHY THIS
Priced ~90% under ANEURISM IV on Steam right now. Shares Action with ANEURISM IV.
Live a week in the life of "The POSTAL Dude"; a hapless everyman just trying to check off some chores. Buying milk, returning an overdue library book, getting Gary Coleman's autograph, what could possibly go wrong?
Buckshot Roulette
WHY THIS
Priced ~70% under ANEURISM IV on Steam right now. Shares Action and Simulation with ANEURISM IV.
Play Russian roulette with a 12-gauge shotgun. Four enter. One leaves. Roll the dice with your life. Good luck!
Brotato
WHY THIS
Priced ~50% under ANEURISM IV on Steam right now. Shares Action and RPG with ANEURISM IV.
Brotato is a top-down arena shooter roguelite where you play a potato wielding up to 6 weapons at a time to fight off hordes of aliens. Choose from a variety of traits and items to create unique builds and survive until help arrives.
Your Only Move Is HUSTLE
WHY THIS
Priced ~50% under ANEURISM IV on Steam right now. Shares Action and Simulation with ANEURISM IV.
Master your technique, execute flashy combos, and outsmart opponents across the world, frame-by-frame. Slow down the clock to fine-tune your fighting style in this innovative, turn-based combat simulator. Pulverize your friends and choreograph spectacular fight scenes. No training mode required.
Free alternatives
Free-to-play games that recommended players of this title also tend to enjoy.
Ultimate Custom Night
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with ANEURISM IV.
Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!
ENA: Dream BBQ
WHY THIS
Shares an atmospheric mood with ANEURISM IV.
Free-to-play pick from the same recommendation pool — no purchase to try it.
Experience surreal environments and inexplicable characters as ENA in a new wild world.
STRAFTAT
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with ANEURISM IV.
STRAFTAT is a 1v1/2v2 ONLINE first person SHOOTER with quick rounds in over 350 MAPS ; Including all WEAPONS, proximity chat and 4 players FFA.
Counter-Strike:Global Offensive
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with ANEURISM IV.
Counter-Strike:Global Offensive (CS:GO) expands upon the team-based action gameplay that it pioneered when it was launched over 2 decades ago. CS:GO features new maps, characters, weapons, and game modes, and delivers updated versions of the classic CS content (de_dust2, etc.).
The Lab
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it.
Welcome to The Lab, a compilation of Valve’s room-scale VR experiments set in a pocket universe within Aperture Science. Fix a robot, defend a castle, adopt a mechanical dog, and more. Still not sold? It’s free!
Z.A.T.O. // I Love the World and Everything In It
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it.
USSR, 1986. A girl goes missing in the closed city of Vorkuta-5, yet not a soul seems to be concerned. Uncover the mystery behind her disappearance and transmit your signal to the universe.
Cube Escape: Paradox
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it.
The tenth Cube Escape follows the story of detective Dale Vandermeer who finds himself trapped in two different universes and needs to escape. Cube Escape: Paradox will be released together with the accompanying Paradox: A Rusty Lake Film.
Samsara Room
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it.
You woke up in a mysterious room you have never seen before. Can you find another way out? Samsara Room is a remake of the praised predecessor of the Rusty Lake & Cube Escape series.
Narrow it down
Head-to-head comparisons
Frequently asked about ANEURISM IV
- 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 Modiverse, PIRATECRAFT, Dead Event.
- Who developed ANEURISM IV?
- ANEURISM IV was developed by Vellocet.
imho.run ranks Steam game alternatives using a mix of collaborative filtering (ALS / iALS / EASE / LightGCN), content scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted vibes mined from review text. The page above is generated in seed mode anchored on ANEURISM IV.
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