Games like Always Surrender
Games like Always Surrender include BALL x PIT, DoDonPachi Resurrection, Bit Blaster XL, Sky Force Reloaded, and Planes, Bullets and Vodka. We matched them by the tags players give Always Surrender on Steam (Shoot 'Em Up, Bullet Hell, Score Attack, Top-Down Shooter, and PvE): closest matches first, and among equally close ones the better-known games.

BALL x PIT
Shared: Bullet Hell · Shoot 'Em Up · Arcade

DoDonPachi Resurrection
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Bit Blaster XL
Shared: Shoot 'Em Up · Bullet Hell · Shooter

Sky Force Reloaded
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Planes, Bullets and Vodka
Shared: Shoot 'Em Up · Bullet Hell · Action

Deep Rock Galactic: Survivor
Shared: Bullet Hell · Top-Down Shooter · PvE

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

Chippy
Shared: Bullet Hell · Shoot 'Em Up · Top-Down Shooter

LUFTRAUSERS
Shared: Bullet Hell · Shoot 'Em Up · Arcade

Vampire Survivors
Shared: Bullet Hell · 2D · Pixel Graphics

Waves
Shared: Shoot 'Em Up · Bullet Hell · Shooter

ESCHATOS
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Crimzon Clover World EXplosion
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Bot Vice
Shared: Bullet Hell · Shoot 'Em Up · Top-Down Shooter

ZeroRanger
Shared: Shoot 'Em Up · Bullet Hell · Arcade

20 Minutes Till Dawn
Shared: Bullet Hell · Shoot 'Em Up · Top-Down Shooter

DEVIL BLADE REBOOT
Shared: Shoot 'Em Up · Score Attack · Shooter

Revolution Ace
Shared: Shoot 'Em Up · Bullet Hell · Shooter

Kill The Crows
Shared: Top-Down Shooter · Arcade · Action

Ikaruga
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Star Saviors
Shared: Shoot 'Em Up · Bullet Hell · Action

BLUE REVOLVER
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Mushihimesama
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Touhou Kinjoukyou ~ Fossilized Wonders.
Shared: Shoot 'Em Up · Bullet Hell · Shooter