In our database we hawe 4 file formats of .sav file extension. If you have a problem with using .sav file extension – we can help You. Below is a list of programs that support the file type of Saved Game for all operating systems. If at any time in the future you will have a problem with any file extension, please visit our File Extensions Database. From today, the question - How to open file .sav - There won't be a problem.