Games like A Contusion
Games like A Contusion include The Binding of Isaac, Nuclear Throne, SYNTHETIK: Legion Rising, The Binding of Isaac: Rebirth, and Skul: The Hero Slayer. We matched them by the tags players give A Contusion on Steam (Top-Down Shooter, Roguelite, Perma Death, Difficult, and Shooter): closest matches first, and among equally close ones the better-known games.

The Binding of Isaac
Shared: Difficult · Procedural Generation · Top-Down

Nuclear Throne
Shared: Difficult · Roguelite · Top-Down Shooter

SYNTHETIK: Legion Rising
Shared: Top-Down Shooter · Roguelite · Difficult

The Binding of Isaac: Rebirth
Shared: Difficult · Indie · Action Roguelike

Skul: The Hero Slayer
Shared: Roguelite · Action · 2D

The Last Stand: Aftermath
Shared: Top-Down Shooter · Roguelite · Shooter

Deep Rock Galactic: Survivor
Shared: Roguelite · Top-Down Shooter · Top-Down

SYNTHETIK 2
Shared: Top-Down Shooter · Roguelite · Perma Death

Hades
Shared: Roguelite · Action · Action Roguelike

Vampire Survivors
Shared: Roguelite · 2D · Action Roguelike

BALL x PIT
Shared: Roguelite · Top-Down Shooter · Action

Teleglitch: Die More Edition
Shared: Top-Down Shooter · Difficult · Perma Death

Noita
Shared: Difficult · Perma Death · 2D

Star of Providence
Shared: Roguelite · Difficult · Action

Tiny Rogues
Shared: Top-Down Shooter · Roguelite · Difficult

Intravenous
Shared: Top-Down Shooter · Difficult · Stealth

Enter the Gungeon
Shared: Difficult · Action Roguelike · 2D

FTL: Faster Than Light
Shared: Perma Death · Difficult · Singleplayer

GoNNER
Shared: Roguelite · Shooter · Difficult

Heat Signature
Shared: Top-Down · Stealth · Roguelite

UnderMine
Shared: Roguelite · Action · Action Roguelike

12 is Better Than 6
Shared: Top-Down Shooter · Shooter · Action

Hotline Miami 2: Wrong Number
Shared: Difficult · Action · Top-Down

Devil Slayer - Raksasi
Shared: Difficult · Roguelite · Top-Down