55		Rinne (Windows, 2005)
53		Fallout 2 (Windows, 1998)
53		Fallout (DOS, 1997)
53		Fallout (Windows, 1997)
51		Relics: The 2nd Birth (Windows, 2001)
51		Shadowrun: Hong Kong (Windows, 2015)
50		UnderRail (Windows, 2013)
42		Toxic Mayhem: The Troma Project (Windows, 2002)

Notes: Games similar to MetalHeart: Replicants Rampage, Games like MetalHeart: Replicants Rampage, Akella, NumLock software GmbH, DreamCatcher Interactive Inc., Windows, Role-Playing, RPG, Cyberpunk, Dark Sci-Fi, Post-Apocalyptic, Sci-Fi, Futuristic, Bird's-eye view, Isometric, PC, Game Similarities.