Games like Blood X Thirsty
Games like Blood X Thirsty include Vampire Survivors, Cook, Serve, Delicious!, Papa's Freezeria Deluxe, The Escapists, and Cult of the Lamb. We matched them by the tags players give Blood X Thirsty on Steam (Strategy, Action Roguelike, Time Management, Arcade, and 2D): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · 2D · Arcade

Cook, Serve, Delicious!
Shared: Time Management · Strategy · Arcade

Papa's Freezeria Deluxe
Shared: Time Management · Strategy · Cooking

The Escapists
Shared: Strategy · 2D · Pixel Graphics

Cult of the Lamb
Shared: Action Roguelike · Cute · Strategy

BALL x PIT
Shared: Arcade · Action Roguelike · Action

Skul: The Hero Slayer
Shared: Action Roguelike · Action · 2D

UFO 50
Shared: Strategy · 2D · Arcade

Necrosmith
Shared: Action Roguelike · Strategy · Top-Down

Shower With Your Dad Simulator 2015: Do You Still Shower With Your Dad
Shared: Arcade · 2D · Funny

Plants vs. Zombies GOTY Edition
Shared: Strategy · 2D · Zombies

Halls of Torment
Shared: Action Roguelike · Arcade · Action

Rhythm Doctor
Shared: 2D · Pixel Graphics · Strategy

Zuma Deluxe
Shared: Strategy · Arcade · 2D

SUPER CHICKEN JUMPER
Shared: Arcade · 2D · Cute

Door Kickers
Shared: Strategy · Top-Down · Action

Boneraiser Minions
Shared: Action Roguelike · 2D · Arcade

Papa's Pizzeria Deluxe
Shared: Strategy · Time Management · Cooking

Cursorblade
Shared: Action Roguelike · Arcade · 2D

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

Punch Club
Shared: Time Management · Pixel Graphics · Arcade

Rogue Legacy
Shared: Action Roguelike · 2D · Action

Enter the Gungeon
Shared: Action Roguelike · Pixel Graphics · 2D

Shotgun King: The Final Checkmate
Shared: Strategy · Action Roguelike · Arcade