Games like Blood Vial
Games like Blood Vial include ULTRAKILL, CULTIC, DOOM, DUSK, and Gunfire Reborn. We matched them by the tags players give Blood Vial on Steam (Boomer Shooter, FPS, Roguelite, Difficult, and Shooter): closest matches first, and among equally close ones the better-known games.

ULTRAKILL
Shared: FPS · Boomer Shooter · Difficult

CULTIC
Shared: Boomer Shooter · FPS · Shooter

DOOM
Shared: FPS · Shooter · First-Person

DUSK
Shared: Boomer Shooter · FPS · Shooter

Gunfire Reborn
Shared: Roguelite · FPS · Roguelike

STRAFE: Gold Edition
Shared: Roguelite · FPS · Shooter

Deadzone: Rogue
Shared: FPS · Roguelite · Roguelike

DOOM Eternal
Shared: FPS · Shooter · Action

Immortal Redneck
Shared: Boomer Shooter · FPS · Roguelite

Trepang2
Shared: FPS · Shooter · Horror

SULFUR
Shared: FPS · Action Roguelike · Roguelite

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

Ziggurat
Shared: Roguelite · FPS · Shooter

Post Void
Shared: FPS · Difficult · Action Roguelike

Roboquest
Shared: FPS · Roguelite · Action Roguelike

BPM: BULLETS PER MINUTE
Shared: FPS · Roguelike · Shooter

Warhammer 40,000: Boltgun
Shared: Boomer Shooter · FPS · Shooter

Risk of Rain 2
Shared: Action Roguelike · Roguelite · Roguelike

Heavy Bullets
Shared: FPS · Roguelite · Action Roguelike

HROT
Shared: FPS · Boomer Shooter · Shooter

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

Ziggurat 2
Shared: FPS · Roguelite · Boomer Shooter

Deep Rock Galactic: Rogue Core
Shared: FPS · Roguelite · Action Roguelike

Left 4 Dead 2
Shared: FPS · Shooter · Action