Games like Alterhavoc
Games like Alterhavoc include Vampire Survivors, Death Must Die, Skul: The Hero Slayer, Megabonk, and Halls of Torment. We matched them by the tags players give Alterhavoc on Steam (Action, Puzzle, Action Roguelike, Bullet Hell, and Roguelite): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Skul: The Hero Slayer
Shared: Action · Action Roguelike · Pixel Graphics

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

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

BALL x PIT
Shared: Action · Roguelite · Bullet Hell

Nuclear Throne
Shared: Action Roguelike · Action · Bullet Hell

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

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

Dungreed
Shared: Action Roguelike · Action · Roguelite

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Sephiria
Shared: Action Roguelike · Roguelite · Action

Realm of the Mad God Exalt
Shared: Bullet Hell · Pixel Graphics · Action Roguelike

UnderMine
Shared: Action Roguelike · Roguelite · Action

Hades
Shared: Action Roguelike · Roguelite · Action

BlazBlue Entropy Effect
Shared: Action · Action Roguelike · 2D

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

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

Atomicrops
Shared: Action · Bullet Hell · Action Roguelike

Rogue Legacy
Shared: Action · Action Roguelike · 2D

Dead Cells
Shared: Action Roguelike · 2D · Roguelite

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Pixel Graphics · Indie

ScourgeBringer
Shared: Action · Roguelite · Action Roguelike

Rocket Rats
Shared: Action Roguelike · Bullet Hell · Pixel Graphics