Games like 18 Levels of Hells
Games like 18 Levels of Hells include Vampire Survivors, Terraria, Death Must Die, Boneraiser Minions, and 20 Minutes Till Dawn. We matched them by the tags players give 18 Levels of Hells on Steam (Rhythm, Online Co-Op, RPG, Casual, and Bullet Hell): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Bullet Hell · 2D · Vampires

Terraria
Shared: 2D · Pixel Graphics · Survival

Death Must Die
Shared: Bullet Hell · RPG · Pixel Graphics

Boneraiser Minions
Shared: Bullet Hell · 2D · Pixel Graphics

20 Minutes Till Dawn
Shared: Bullet Hell · Casual · Pixel Graphics

Don't Starve Together
Shared: Online Co-Op · Survival · RPG

Starbound
Shared: Online Co-Op · Pixel Graphics · Survival

Just Shapes & Beats
Shared: Rhythm · Bullet Hell · 2D

Dying Light
Shared: Online Co-Op · Horror · RPG

OMORI
Shared: RPG · Indie · Pixel Graphics

Enter the Gungeon
Shared: Bullet Hell · Pixel Graphics · Indie

DELTARUNE
Shared: RPG · Bullet Hell · Pixel Graphics

Magicite
Shared: RPG · Indie · 2D

Tinkerlands
Shared: Online Co-Op · Pixel Graphics · Indie

Beat Hazard
Shared: Rhythm · Bullet Hell · 2D

Hero Siege
Shared: RPG · Pixel Graphics · Indie

Tales of the Black Forest
Shared: RPG · Pixel Graphics · Indie

Asgard's Fall — Viking Survivors
Shared: Bullet Hell · Casual · 2D

Melvor Idle
Shared: RPG · Casual · Indie

DAVE THE DIVER
Shared: Casual · Pixel Graphics · RPG

Cookie Clicker
Shared: Casual · Indie · Pixel Graphics

Stardew Valley
Shared: RPG · Pixel Graphics · Indie

Touhou Mystia's Izakaya
Shared: Casual · RPG · Pixel Graphics

Undertale
Shared: RPG · Pixel Graphics · Indie