
33 watches that match on case size, movement family, and price band. Sorted by how close the match is.
The closest alternative to the Patek Philippe Grand Complications 5374 is the Otsuka Lotec 6号 ($495,000) — visually similar and Automatic. If price is the constraint, the A. Lange & Söhne 1815 RATTRAPANTE PERPETUAL CALENDAR HANDWERKSKUNST - 421.048 covers most of the same brief. From the independents, the Manufaktur Waldhoff Multimatic II Coral on steel bracelet is the standout microbrand take — looks nearly identical and Automatic.
Independent makers covering the same brief — usually with something the mainstream brands don't.
Established brands covering the same brief at a comparable price — same case size, similar movement family. Often the deciding click for a new buyer.
If the price is the only thing keeping you off this watch, these get you most of the way there for less.