Games like Abyssal Blood
Games like Abyssal Blood include Vampire Survivors, Halls of Torment, BALL x PIT, Death Must Die, and 20 Minutes Till Dawn. We matched them by the tags players give Abyssal Blood on Steam (Action, Action Roguelike, Bullet Hell, Roguelite, and Shoot 'Em Up): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Roguelite

BALL x PIT
Shared: Action · Roguelite · Bullet Hell

Death Must Die
Shared: Action Roguelike · Bullet Hell · Roguelite

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

Star of Providence
Shared: Action Roguelike · Bullet Hell · Roguelite

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Skul: The Hero Slayer
Shared: Action · Action Roguelike · Roguelite

Beautiful Mystic Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

I Am Legion: Stand Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Hades II
Shared: Action · Roguelite · Action Roguelike

Hades
Shared: Action Roguelike · Roguelite · Action

Nuclear Throne
Shared: Action Roguelike · Action · Bullet Hell

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

Nova Drift
Shared: Bullet Hell · Shoot 'Em Up · Roguelite

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Rocket Rats
Shared: Action Roguelike · Bullet Hell · Roguelite

The Void Rains Upon Her Heart
Shared: Action Roguelike · Bullet Hell · Action

Dead Cells
Shared: Action Roguelike · Roguelite · Pixel Graphics

UnderMine
Shared: Action Roguelike · Roguelite · Action

Noobs Want to Live
Shared: Bullet Hell · Action · Action Roguelike

Dungreed
Shared: Action Roguelike · Action · Roguelite

Sephiria
Shared: Action Roguelike · Roguelite · Action