Games like Ball-it Hell
Games like Ball-it Hell include Nova Drift, Vampire Survivors, Bit Blaster XL, Planes, Bullets and Vodka, and BALL x PIT. We matched them by the tags players give Ball-it Hell on Steam (Arcade, Bullet Hell, Score Attack, Souls-like, and Shoot 'Em Up): closest matches first, and among equally close ones the better-known games.

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

Vampire Survivors
Shared: Bullet Hell · Arcade · 2D

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

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

BALL x PIT
Shared: Arcade · Bullet Hell · Action

Sky Force Reloaded
Shared: Arcade · Bullet Hell · Shoot 'Em Up

LUFTRAUSERS
Shared: Bullet Hell · Arcade · Action

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

Windowkill
Shared: Bullet Hell · Arcade · Action

Geometry Wars: Retro Evolved
Shared: Arcade · Bullet Hell · Casual

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

Cyberhunt
Shared: Arcade · Action · Shoot 'Em Up

Savant - Ascent
Shared: Action · Shoot 'Em Up · Score Attack

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

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

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

Geometry Arena
Shared: Arena Shooter · Bullet Hell · Arcade

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

Deep Rock Galactic: Survivor
Shared: Bullet Hell · Arcade · Arena Shooter

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

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

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

Kill The Crows
Shared: Arcade · Action · Score Attack

Swarmlake
Shared: Arcade · Action · Bullet Hell