Games like BloodSpire
Games like BloodSpire include Vampire Survivors, The Binding of Isaac: Rebirth, Skul: The Hero Slayer, Dead Cells, and Cult of the Lamb. We matched them by the tags players give BloodSpire on Steam (Action Roguelike, Incremental, Roguelite, Difficult, and Roguelike): closest matches first, and among equally close ones the better-known games.
Vampire Survivors
Shared: Action Roguelike · Roguelite · 2D
The Binding of Isaac: Rebirth
Shared: Action Roguelike · Roguelike · Difficult
Skul: The Hero Slayer
Shared: Action Roguelike · Roguelike · Roguelite
Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite
Cult of the Lamb
Shared: Action Roguelike · Roguelite · Cute
Dungreed
Shared: Action Roguelike · Roguelite · Roguelike
Enter the Gungeon
Shared: Action Roguelike · Roguelike · Difficult
Hades
Shared: Action Roguelike · Roguelite · Roguelike
Nuclear Throne
Shared: Action Roguelike · Roguelike · Difficult
Megabonk
Shared: Action Roguelike · Roguelite · Roguelike
暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · Roguelike
Everything is Crab: The Animal Evolution Roguelite
Shared: Action Roguelike · Roguelite · Character Customization
Noita
Shared: Roguelike · Difficult · Action Roguelike
Death Must Die
Shared: Action Roguelike · Roguelite · Pixel Graphics
Sephiria
Shared: Action Roguelike · Roguelite · Roguelike
Astro Prospector
Shared: Incremental · Action Roguelike · Roguelite
Balatro
Shared: Roguelike · Roguelite · Pixel Graphics
Risk of Rain 2
Shared: Action Roguelike · Roguelite · Roguelike
The Binding of Isaac
Shared: Action Roguelike · Roguelike · Difficult
Risk of Rain (2013)
Shared: Action Roguelike · Roguelike · Difficult
Halls of Torment
Shared: Action Roguelike · Roguelite · Roguelike
Wizard of Legend
Shared: Action Roguelike · Roguelike · Roguelite
Hades II
Shared: Roguelite · Roguelike · Action Roguelike
Vagante
Shared: Action Roguelike · Difficult · Roguelite