The replicability crisis is a major issue across nearly all areas of empirical science, calling for the formal study of replicability in statistics. Motivated in this context, [Impagliazzo, Lei, Pitassi, and Sorrell STOC 2022] introduced the notion of replicable learning algorithms, and gave basic procedures for $1$-dimensional tasks including statistical queries. In this work, we study the computational and statistical cost of replicability for several fundamental high dimensional statistical tasks, including multi-hypothesis testing and mean estimation. Our main contribution establishes a computational and statistical equivalence between optimal replicable algorithms and high dimensional isoperimetric tilings. As a consequence, we obtain matching sample complexity upper and lower bounds for replicable mean estimation of distributions with bounded covariance, resolving an open problem of [Bun, Gaboardi, Hopkins, Impagliazzo, Lei, Pitassi, Sivakumar, and Sorrell, STOC2023] and for the $N$-Coin Problem, resolving a problem of [Karbasi, Velegkas, Yang, and Zhou, NeurIPS2023] up to log factors. While our equivalence is computational, allowing us to shave log factors in sample complexity from the best known efficient algorithms, efficient isoperimetric tilings are not known. To circumvent this, we introduce several relaxed paradigms that do allow for sample and computationally efficient algorithms, including allowing pre-processing, adaptivity, and approximate replicability. In these cases we give efficient algorithms matching or beating the best known sample complexity for mean estimation and the coin problem, including a generic procedure that reduces the standard quadratic overhead of replicability to linear in expectation.