Games like Astro Burn
Games like Astro Burn include Vampire Survivors, Nova Drift, Hitler is my crush, BALL x PIT, and Enter the Gungeon. We matched them by the tags players give Astro Burn on Steam (Action Roguelike, Side Scroller, Hero Shooter, Shoot 'Em Up, and Bullet Hell): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · 2D

Nova Drift
Shared: Shoot 'Em Up · Action Roguelike · Bullet Hell

Hitler is my crush
Shared: Side Scroller · Hero Shooter · Shoot 'Em Up

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

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · Indie

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

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

Skul: The Hero Slayer
Shared: Action Roguelike · Side Scroller · Indie

Crab Champions
Shared: Action Roguelike · Arcade · Bullet Hell

Megabonk
Shared: Action Roguelike · Bullet Hell · Indie

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

Knightmare Tower
Shared: Side Scroller · Shoot 'Em Up · Bullet Hell

Slime 3K: Rise Against Despot
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

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

SNKRX
Shared: Action Roguelike · Shoot 'Em Up · Shooter

Huntdown
Shared: Side Scroller · Shoot 'Em Up · Shooter

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

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

Rogue: Genesia
Shared: Action Roguelike · Bullet Hell · PvE

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

METAL SLUG
Shared: Side Scroller · Shoot 'Em Up · Arcade

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Bullet Hell · PvE

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · 2D

Rabbit and Steel
Shared: Action Roguelike · Bullet Hell · Cute