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Games like Atrophia: Diseased Lands

Games like Atrophia: Diseased Lands

Games like Atrophia: Diseased Lands

Looking for games like Atrophia: Diseased Lands? Here are top open world role playing recommendations with a horror, fantasy, medieval, post-apocalyptic, historical and dark fantasy focus, selected from player-similarity data — start with The Realm, World of Magic: Rise of Magic or Horns.

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  1. Awaken in a forgotten land with no memory of who you are. Guided only by a mysterious spirit, you set out on a journey to recover the five legendary Crystal Shards, ancient relics said to hold the power to restore what was lost. But the world is far from abandoned. Twisted creatures roam the wilderness, forgotten dungeons guard powerful secrets, and towering bosses stand between you and the truth… If you enjoyed this game, see our list of games similar to The Realm.

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  2. World of Magic: Rise of Magic is an open-world action RPG set in a Medieval Punk fantasy world, where combat, magic, and world simulation systems dynamically interact to create unpredictable gameplay outcomes. Players take on the role of a mage in a living world where spell combinations, enemy adaptation, and narrative choices continuously reshape both combat and the world itself. The game featur… If you enjoyed this game, see our list of games similar to World of Magic: Rise of Magic.

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  3. HORNS is a dark fantasy action RPG that combines the atmosphere and depth of classic RPGs with modern third-person combat, cinematic storytelling, and exploration-driven progression. You awaken in a ruined, unfamiliar place with only one purpose: find Lord Egannon, the arcanist accused of bringing slaughter to the capital, and uncover whether the king you once served is still alive. But the deepe… If you enjoyed this game, see our list of games similar to Horns.

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  4. Wishlist and Follow Dokkalfar! About the Game Dokkalfar is a modern Metroidvania following Vivi, a Dark Elf hunter tracking the sorcerer Erasmus and his cult across a vast fantasy realm. Master fast, acrobatic movement and shadow magic as you fight, explore, and uncover the truth behind a forbidden power capable of awakening ancient horrors. Every path forward is shaped by your abilities,… If you enjoyed this game, see our list of games similar to Dokkalfar: The Ballads of Vivi the Dark Elf.

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  5. A DECEPTIVELY BEAUTIFUL WORLD A seemingly peaceful village becomes the target of a brutal orc attack. As Arvin—a local warrior and defender—you stand against overwhelming odds to fight the horde. However, it quickly becomes clear that the invasion is just the tip of the iceberg. A powerful magic slumbers beneath the earth, and the local baron hides a dark secret known as Bloodsalt. Who is the real… If you enjoyed this game, see our list of games similar to Bloodsalt.

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  6. Reclaim the Flame. Restore the Light. Echoes of Argora is an action RPG, where you step into the role of Azure, a young hero chosen by prophecy to confront an ancient darkness. Explore a large, open world, wield divine powers, and battle through shadows to restore a stolen light to the land. Argora was once a land of boundless beauty, protected by the Holy Flame—a beacon gifted by the gods. But … If you enjoyed this game, see our list of games similar to Echoes of Argora.

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  7. LIGHTHOUSE OF THE SOULS is a third-person action roguelite with hack and slash and RPG mechanics, set in a dark supernatural fantasy world. The game features realistic visuals, a strong atmospheric tone, and a soulslike-inspired experience. Face ever-changing challenges alone or in online co-op with up to 4 players. A dark fantasy island hides a ruined bridge between the world of the liv… If you enjoyed this game, see our list of games similar to Lighthouse Of The Souls.

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  8. Bahamut 3: Fall of the Dragon God's Child is a dark fantasy JRPG where every choice shapes the hero’s fate. Fight tactical battles using positioning, attack ranges, and Action Points, recruit companions tied to the Seven Deadly Sins, and manage weapons, hunger, time, and resources. If you enjoyed this game, see our list of games similar to Bahamut3-The Fall of the Dragon God's Child.

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  9. Protect the hearts known as 'these' from the approaching corruption of monsters known as 'them' with the last remaining survivors in this twisted dark fantasy realm. If you enjoyed this game, see our list of games similar to These Are Them.

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  10. Build a squad, arrange your formation, and fight through a fractured sci-fi world in turn-based tactical battles. Equip and upgrade heroes, exploit class roles, and time skills and ultimates across 100 stages and five distinct regions. If you enjoyed this game, see our list of games similar to Battle Gambit.

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  11. Enter the dark fantasy World of Regnum, where skill, survival, and progression shape your fate. Regnum Last Sanctum is a stylized medieval dark fantasy action RPG that begins with Saga I - Combat: Wrath of the Goblins, its opening Saga. Take on the role of the Nordheim hero, protect Regnum's last sanctum, defend fort Nordhold, and defeat the goblin invasion through fast-paced and skill-based comb… If you enjoyed this game, see our list of games similar to Regnum Last Sanctum.

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  12. BUILD, EXPLORE, SURVIVEStep into a dark fantasy sandbox where every decision shapes your settlement and the world around it. Lead your people directly in a breathing open world, balancing exploration, combat, and survival as you carve out your place in a hostile land. Engage with rival settlements through trade, diplomacy, or conflict, while venturing into dangerous regions filled with powerful e… If you enjoyed this game, see our list of games similar to Impurity.

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  13. Luciferian is an action RPG, hack & slash, top-down shooter that immerses you into the world of occultism and magic. Fight diverse enemies, escape each level, and summon demons, gaining new abilities as you delve deeper into the dark arts. If you enjoyed this game, see our list of games similar to Luciferian - The Conjuring Book.

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  14. A dark roguelite action experience where you fight through endless hordes of corrupted creatures, free your family and rebuild the village. Survive brutal arena battles, unlock powerful upgrades, defeat massive bosses, and rebuild a fallen medieval village one run at a time. If you enjoyed this game, see our list of games similar to Huntsman Against Darkness.

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  15. Verfall: A Dark and Strategic RPGThe world of Verfall is in ruins. The "Servants of Corrosion" have been unleashed, and now it's a race against time to save what remains. Heroes marked by the "Mark" carry the burden of a curse and must unite, facing the challenge with the few resources available. Traditional power-ups are not an option — every battle must be fought with what yo… If you enjoyed this game, see our list of games similar to Verfall.

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  16. Sir Galgano is a side-scrolling medieval beat ‘em up game with RPG elements If you enjoyed this game, see our list of games similar to Sir Galgano: A Medieval Tale.

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  17. We are currently in Early Development. Features, visuals, and content are still evolving as we continue building the world of Maji. Step into the city of Neo-Bandung, a place where modern life stands side by side with ancient spiritual forces. Dark spirits known as Dzinis have begun appearing more frequently, threatening civilians and pushing local militias to their limits. You play as Suaka, a … If you enjoyed this game, see our list of games similar to SVAKA: Lost Legends.

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  18. Ashes of Kardoria is a dark, choice-driven RPG where moral decisions shape your path. This isn’t a story about being a hero — there are no “good” answers, only consequences. As plague spreads and supplies run thin, tensions build toward a faction war, and the Orc threat grows stronger by the day. You’ll eventually be forced to choose a side: the Guards or the Hunters. Your faction choice giv… If you enjoyed this game, see our list of games similar to Ashes of Kardoria.

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  19. 3x3 battles. Mid-battle evolutions. A forgotten bond between data and emotion. V-Monsters Forgotten Link is a turn-based monster-taming RPG with strategic 3x3 battles and evolutions that happen during combat, set in a digital world on the brink of collapse. Build your team of V-Monsters, combine their skills, and use the right evolution at the right moment to turn difficult battles in your fav… If you enjoyed this game, see our list of games similar to V-Monsters Forgotten Link.

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  20. Z Ops: DeadzoneThe world has changed. A parasite known as Bane-Z spread at an alarming speed. Once the brain is infected, the host turns into an aggressive creature that no longer responds to anything. Survivors simply call them Bane-Z. Cities are abandoned. Infrastructure has collapsed. But one organization is still fighting: the Z Ops. You play as a Z Ops agent, a unit sent into contaminated… If you enjoyed this game, see our list of games similar to Z Ops: DeadZone.

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  21. A Living Archive of AnomaliesPhantom Containment is built around a growing archive of entities, aberrant species, anomalies, and forgotten civilizations discovered throughout Helix Planet. The long-term vision is an expansive and evolving bestiary that continues to grow over time, introducing new species, entity classes, anomaly types, and ancient mysteries as the world expands. Origin Unkn… If you enjoyed this game, see our list of games similar to Phantom Containment.

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  22. 78%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:story, optimization
    78% User Score Based on 60 reviews

    The mighty Dahlan Empire is falling, ravaged by a mysterious plague and internal unrest. While surviving powers and invading nations fight among themselves, adventurers and mercenaries venture inside this land full of opportunities.Create your character and embark on an epic journey, enjoying complete freedom in a true sandbox RPG experience. Everything you do affects the world and its people. All… If you enjoyed this game, see our list of games similar to Dustgrave: A Sandbox RPG.

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  23. 74%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:graphics, grinding
    79% User Score Based on 4,338 reviews
    Critic Score 55%Based on 2 reviews

    The Age of Decadence is a turn-based, hardcore role-playing game set in a low magic fantasy world. The game features a detailed skill-based character system, multiple skill-based ways to handle quests, choices & consequences, and extensive dialogue trees. If you enjoyed this game, see our list of games similar to The Age of Decadence.

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  24. A dark medieval action RPG where faith is fading and demons walk among men. Uncover the truth behind God's silence, master brutal tactical melee combat, and fight your way through the cursed city of Valensbrück. If you enjoyed this game, see our list of games similar to Sanctum Wars: Ex Infernis.

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    An isometric Action RPG sandbox in a collapsing world. Explore a global map, fight in intense real time combat, absorb soul cores and perform ascension rituals. Find rare gear, develop unique paths and strive to overcome the inevitable end. Key FeaturesThe World is experienced across two distinct levels, blending strategic movement with intense tactical combat: Global Strategic Map: Traverse an… If you enjoyed this game, see our list of games similar to Aetherium.

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  26. WOLF OF TENGRIThe ancient spirits have awakened. The balance of the world is collapsing. Enter a cinematic third-person Action RPG inspired by the rich mythology of the ancient Turks. Explore a vast semi-open world filled with forgotten temples, sacred mountains, hidden forests, and mysterious ruins where every path reveals a new legend. Face terrifying mythical creatures, master fast and brutal… If you enjoyed this game, see our list of games similar to THE WOLF OF TENGRI.

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  27. Valenium is a third-person fantasy RPG featuring high-octane action and adventure. Beyond its main narrative, the game offers meticulously written item lore and a vast universe where exploring hidden regions is just the beginning. Fight against The Evolved, ancient mages, and dark enemies in this 3D world with real-time combat mechanics. 3 Distinct Playable Classes Choose from 3 different playabl… If you enjoyed this game, see our list of games similar to Valenium.

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  28. PROJECT ORCLive the life of an Orc in a brutal world of war, survival, and tribal conquest. Project Orc is a brutal open-world survival RPG where you rise through the ranks of your clan to become the War-Chief. Gather resources, craft powerful gear, build your clan stronghold, and conquer a savage world filled with rival tribes, dangerous creatures, and ancient secrets. EXPLORE A SAVAGE WORL… If you enjoyed this game, see our list of games similar to Project: Orc.

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  29. The Light of Celestia is a story-driven action-adventure RPG set on the mystical island of Elaren. Step into the role of Zoe, a courageous young warrior chosen by fate to wield the ancient power of the Light Fragments-mystical relics that hold the key to saving her world from a spreading corruption. Explore a visually stunning, hand-crafted world filled with forgotten ruins, enchanted forests, an… If you enjoyed this game, see our list of games similar to The Light of Celestia.

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  30. An open-world co-op action RPG played from a third-person perspective. OverviewThe world of Skylorn lies in ruins. Failed experiments to incorporate magic into their technology have devastated the lands, leaving behind crumbling cities, mutated areas and hostile machines. You are one of the new arrivals, a voyager from a distant colony, sent to reclaim and restore these lands. Skylorn: Bound Tog… If you enjoyed this game, see our list of games similar to Skylorn: Bound Together.

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  31. What's in the Demo?The demo offers approximately 1–1.5 hours of gameplay, with two playable classes, three destinations, and two rideable mounts: a wolf and a dragon. Choose a Knight or a Gunman and experience three different sides of Long Trip: Dwarven Caverns: Begin in a compact dungeon with a clear route, where you can get familiar with movement and combat. Fata Sands Outpost: Explore a la… If you enjoyed this game, see our list of games similar to Long Trip.

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  32. 88%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:replayability, grinding
    88% User Score Based on 238 reviews

    Stirring Abyss is an indie tactical squad-based game with strong RPG elements in which you uncover the ancient mysteries of the depths depicted in the classic vein of Lovecraftian horror. If you enjoyed this game, see our list of games similar to Stirring Abyss.

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  33. 86%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, replayability
    86% User Score Based on 1,033 reviews

    Vaporum is a grid-based dungeon crawler RPG in an original steampunk setting, inspired by old-school classics of the genre. Stranded in the middle of an ocean, in front of a gigantic tower, the hero has to find out what the place is, what happened there, and most importantly, who he is. If you enjoyed this game, see our list of games similar to Vaporum.

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  34. Explore a World Torn Apart by Colliding Realities Journey across the shattered lands of Aetherys from frozen oceans and haunted forests to ruined kingdoms consumed by spiritual corruption. Discover hidden secrets, ancient civilizations, and terrifying realms beyond reality itself. Strategic Turn-Based Combat Master a deep turn-based combat system focused on tactical positioning, elemental synergy,… If you enjoyed this game, see our list of games similar to Rift of Legendary Souls.

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  35. Noctheron: The Eclipse Bringer is a dark pixel art RPG focused on story, exploration, and turn-based battles. Set against a war driven by the ambition of three kingdoms, it follows a tale of power, loss, romance, and moral choices, where every decision helps shape the protagonist’s path and the fate of those around him. In an age consumed by moral decay, each chapter reveals new conflicts, enemie… If you enjoyed this game, see our list of games similar to Noctheron: The Eclipse Bringer.

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  36. Story-Driven Dark Fantasy RPG with Precision Turn-Based CombatRequiem for Faith is a dark fantasy turn-based RPG built around precision combat, set in Varnath, a kingdom of seven cities standing at the edge of a breaking faith Play as a Fallen Holy KnightOnce protected by holy vows and sacred light, the kingdom now trembles under war, fear, and secrets buried beneath the Cathedral. Lead Ser… If you enjoyed this game, see our list of games similar to Requiem for Faith.

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  37. StoryEcho’s Cry blends intense hack-and-slash combat with rhythm-game precision. Cut through hordes of enemies while striking to the beat, combining the thrill of fast-paced action with the satisfaction of perfectly timed inputs. Fight your way through a dark, gloomy world inspired by the Victorian era, accompanied by a beautifully produced original soundtrack that drives every battle. Follow Ech… If you enjoyed this game, see our list of games similar to Echo's Cry.

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  38. After receiving a mysterious invitation from the influential patron Dr. Marsh, you find yourself drawn into a chain of occult events surrounding an ancient ritual. You must confront a secretive cult, prevent the ritual, and escape alongside your companions. Edge of Madness is a dark RPG inspired by the works of H. P. Lovecraft. Choose one of four characters and accept the invitation to the Mar… If you enjoyed this game, see our list of games similar to Edge of Madness.

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  39. This is a steampunk extraction-driven experience built around tension, survival, and brutal close-quarters combat. Every run is a risk—what you bring in, what you extract with, and what hunts you along the way is never guaranteed. Brutal Close-Combat Fighting Combat is intimate, heavy, and physical. Every swing has weight. Every hit matters. There are no firearms—combat is built entirely aroun… If you enjoyed this game, see our list of games similar to Unending Watch - Dead Man's Fingers.

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  40. Abyssbound is a dark fantasy 1–4 player co-op action roguelite where every descent is different, and the voice in your head may be your greatest weapon… or your downfall. Centuries ago, the Abyss was sealed during the legendary Last Seal War. Now the cracks have returned. Rotten energy seeps into forgotten halls, twists creatures, warps reality, and drags the dead back into motion. You are an el… If you enjoyed this game, see our list of games similar to Abyssbound.

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  41. Step into the forgotten world of Vokir Island, where echoes of a lost past stir within the mists. You are the Lost Guardian, awakening with fragmented memories and an unshakable pull toward an uncertain destiny. As darkness tightens its grip over the land, specters of your former life rise to meet you — foes, allies, and secrets long buried beneath the sands of time. Lost Tales of Altoris invites… If you enjoyed this game, see our list of games similar to Lost Tales of Altoris.

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  42. Antiria is a single-player survival adventure set in a fantasy world of floating islands, shaped by an ancient magical catastrophe. As the sole survivor of an expedition, you must explore, adapt, and thrive in a land suspended above an ocean of chaos. Key Features: Immersive Story: Experience a narrative-driven adventure as you uncover the secrets of Antiria, survive after a devastating stor… If you enjoyed this game, see our list of games similar to Antiria.

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  43. 54%Game Brain Score
    54% User Score Based on 5 reviews

    Dungeon Explorers 2 - Early AccessA Journey of Strategy, Romance, and Adventure! In a world shrouded in supernatural darkness, where the war between Chaos and the gods has left eternal scars, a young warrior embarks on his crusade against Chaos itself. Immerse yourself in a high-fantasy RPG that blends first-person dungeon exploration, intense tactical battles, and faction management. Forge allia… If you enjoyed this game, see our list of games similar to Dungeon Explorers 2.

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    TORNBLADE is a dark, brutal indie action RPG inspired by the spirit of classic games from the 80s and 90s – a time when imagination filled the gaps left by pixels.  It’s a tribute to an era when games built worlds of mystery, and every discovery carried weight.  You play as a lone knight, a wanderer traversing a land drowned in decay and silence.  His body is consumed by a dark affliction born … If you enjoyed this game, see our list of games similar to TORNBLADE.

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  45. Notice Before Playing:  Before starting your game make sure your pc resolution is at least 1280x720 or 1920x1080. Also, in options in the actual game, set your game to fullscreen, and stretch screen to avoid sprites cutting off. The best way to play it! Also, errors I can't fix, but doesn't affect going forward in the game. Since the game engine broke the scripts, the shop glitches out, and cra… If you enjoyed this game, see our list of games similar to Cataclysmic Bite.

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  46. 74%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:optimization
    96% User Score Based on 28 reviews

    Masks of the Void is a Rogue-lite action-RPG focused on build generation. Defeat the void before it consumes you. Prower is the key to succeed in this fast paced combat against time and chaos. The first ever roguelite where the environment is your toolkit. Set up amazing combos placing your enemies in the right spot while using the power of telekinesis at your will! Every action you do has a conse… If you enjoyed this game, see our list of games similar to Masks of the Void: Origins.

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  47. 57%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, optimization
    57% User Score Based on 1,468 reviews

    Of Ash and Steel is an immersive third-person open-world RPG created by a passionate team that values the essence of classic old-school RPGs and modern designs. Explore the lands of a once-prosperous island, hone your combat skills, and survive in the unforgiving realm of the Kingdom of the Seven. If you enjoyed this game, see our list of games similar to Of Ash and Steel.

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  48. 86%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, grinding
    90% User Score Based on 4,754 reviews
    Critic Score 74%Based on 3 reviews

    Dread Delusion is an open world RPG brimming with strange places and dark perils. Carve your own path through the flying continents of a shattered land. Discover curious towns, unearth occult secrets, master powerful magic - and change the world through your choices. If you enjoyed this game, see our list of games similar to Dread Delusion.

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  49. 100%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, atmosphere
    100% User Score Based on 119 reviews

    Arem has lived his life surrounded by ocean waves and fields of dying grass. Upon his small island lies The Settlement, a community of just three thousand: the children of the sun. Passing the long years in prayer and simple work, the blessed people of the Island live and die by their traditions. Arem, like all young men and women of The Settlement, knows well the laws of his people: perform one's… If you enjoyed this game, see our list of games similar to A Song Of Sunlight.

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  50. 68%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, grinding
    68% User Score Based on 9,918 reviews

    ELEX is a handcrafted action role-playing experience from the award-winning creators of the Gothic series, set in a brand new post-apocalyptic Science Fantasy universe that puts players into a huge seamless game world full of original characters, mutated creatures, deep moral choices and powerful action. In ELEX, you join the war over a powerful resource that gives people great magic-like powers,… If you enjoyed this game, see our list of games similar to ELEX.

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