head to head
Don't Scream asks more than Visage, and the gap is variance.

Variance · Pure Chaos
A microphone-gimmick horror walk testing vocal composure against randomised scares.

Variance · Light / Casual
A first-person psychological horror set in a cursed family home.
Don't Scream leans Variance (Pure Chaos); Visage leans Variance (Light / Casual).
Don't Scream leans a little harder on execution, though the gap is small.
Don't Scream
Keeping your voice steady is the only physical test
Visage
Slow movement and item use.
Same score on reads - which means the number cannot separate them. The difference is in what each one asks of you.
Don't Scream
Scares are randomised triggers, not an adaptive mind
Visage
Ghosts follow scripted triggers.
Don't Scream leans clearly harder on variance.
Don't Scream
Dynamic scare placement makes every walk unpredictable
Visage
Some scares and item placements vary.
Visage leans a little harder on optimization, though the gap is small.
Don't Scream
Little to solve - composure, not strategy, is tested
Visage
Sanity management is shallow.
A matching score does not mean a matching test. Two games can both sit at 10 on execution and demand completely different things of you - which is why the reasoning above matters more than the number beside it.