Games like Adrenaline Rampage
Games like Adrenaline Rampage include Megabonk, Brotato, Neon Abyss, Soulstone Survivors, and The Binding of Isaac. We matched them by the tags players give Adrenaline Rampage on Steam (Action, 2D Platformer, Bullet Heaven, Shoot 'Em Up, and Bullet Hell): closest matches first, and among equally close ones the better-known games.

Megabonk
Shared: Bullet Heaven · Roguelike · Action

Brotato
Shared: Roguelike · Bullet Hell · Bullet Heaven

Neon Abyss
Shared: Bullet Heaven · Roguelike · Procedural Generation

Soulstone Survivors
Shared: Bullet Heaven · Bullet Hell · Roguelike

The Binding of Isaac
Shared: Roguelike · Action · Procedural Generation

Vampire Survivors
Shared: Bullet Hell · Action · Roguelike

BALL x PIT
Shared: Action · Bullet Hell · Roguelike

Death Must Die
Shared: Bullet Hell · Bullet Heaven · Action

Deep Rock Galactic: Survivor
Shared: Bullet Heaven · Bullet Hell · Action

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

20 Minutes Till Dawn
Shared: Bullet Hell · Shoot 'Em Up · Survival

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

Tower of Babel: Survivors of Chaos
Shared: Bullet Heaven · Bullet Hell · Action

Hades
Shared: Action · Roguelike · Action Roguelike

Halls of Torment
Shared: Bullet Hell · Action · Roguelike

Enter the Gungeon
Shared: Bullet Hell · Roguelike · Difficult

Rogue Legacy
Shared: Action · Roguelike · Platformer

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

Star of Providence
Shared: Bullet Hell · Shoot 'Em Up · Action

Rogue Legacy 2
Shared: Action · Platformer · Difficult

Spelunky
Shared: Roguelike · Platformer · Difficult

Risk of Rain (2013)
Shared: Action · Roguelike · Platformer

Nuclear Throne
Shared: Roguelike · Action · Bullet Hell

Atomicrops
Shared: Action · Bullet Hell · Roguelike