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Outside of Castle Super Beast, I don't watch Pat's stuff anymore, but from what I know of him from CSB and what I remember of him from Super Best Friends Play, I would have thought that Dwarf Fortress would be one of the most aggressively anti-Pat games of all time. And from what he says here, I suppose it is indeed that, for the most part.
Of all the Dwarf Fortress-lite games (and that's honestly what they all are) that are on Steam and elsewhere, I haven't actually tried RimWorld yet, though it's on my wishlist. I have played Gnomoria, with and without mods, a tiny bit of Ingnomia (which is apparently just someone else's attempt at a redo of Gnomoria, with the original Gnomoria dev's blessing, though it's mostly dead in the water now), Craft the World (which I wrote about here... and I guess Banished, which I also wrote about there, kind of fits this genre too), and most recently Oxygen Not Included (which is very similar to Craft the World, except that it's even more in depth, more science-based than medieval fantasy-based, and doesn't have the increasingly murderous invasions every 45 minutes or so, which by itself is a marked improvement over CTW). I'm not sure if games like Factorio count as part of the "Dwarf Fortress-lite" genre, but if they do, well... then that, too. All of these are cool, in their own ways, and as complex as some of them are (e.g. ONI, Factorio), not a single one of them hold a candle to the ridiculous simulation of so much... stuff... that is in Dwarf Fortress. And from what little I know of RimWorld, the same is true of that one, as well.
I played DF for a little while way back in ye olden days, and I've played a bit of it again now that it's out on Steam (one of the very few games for which I've paid not-discount price in the past decade), though I've barely cracked the surface on it so far, mainly because I keep stopping and starting over again (same as with ONI). From what little I've seen of the Steam version, it looks to be almost as complex as the old classic version, though some stuff, such as Adventure mode, have been (temporarily) stripped out of the Steam release.
Also, despite what Pat and Woolie say here in this video, Dwarf Fortress is not The Sims and it is not Animal Crossing. I've played Animal Crossing (the original GameCube game, at least, none of the later stuff) and I've played The Sims (a whole metric imperial assload of The Sims, from the original The Sims game up through and including The Sims 4 and just about all of their expansions, and I'll probably eventually do the same with The Sims 5 whenever that comes out, even despite my militant antipathy toward everything Electronic Arts otherwise), and while there are some very vague similarities there, if you tilt your head and squint really hard, even those games are tiny baby simulations compared to Dwarf Fortress. DF really is almost a entire genre unto itself, with maybe a few pretenders to the throne, but none that have come close to taking said throne yet.
