There are many different kinds of townbuilders these days, but two of the most popular are "it's a bit like Settlers," and "it looks a bit like Settlers as a ruse but really it's about everyone dying of cholera." Farthest Frontier is the latter: a city management game from the makers of Grim Dawn where its picturesque exterior gives way to an interier that's reminiscent of Banished.
As of today, Farthest Frontier is now in early access.