Games like Breakout Epilepsia
Games like Breakout Epilepsia include METAL SLUG, Bit Blaster XL, Alex Jones: NWO Wars, Huntdown, and Guns, Gore & Cannoli. We matched them by the tags players give Breakout Epilepsia on Steam (Side Scroller, Shoot 'Em Up, Perma Death, Shooter, and Arcade): closest matches first, and among equally close ones the better-known games.

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

Bit Blaster XL
Shared: Shoot 'Em Up · Shooter · Arcade

Alex Jones: NWO Wars
Shared: Shooter · Shoot 'Em Up · Arcade

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

Guns, Gore & Cannoli
Shared: Side Scroller · 2D · Shoot 'Em Up

Broforce
Shared: Action · 2D · Side Scroller

METAL SLUG 3
Shared: Side Scroller · Arcade · Action

METAL SLUG X
Shared: Arcade · Shoot 'Em Up · Action

Kero Blaster
Shared: Side Scroller · Shoot 'Em Up · Shooter

DRAINUS
Shared: Shoot 'Em Up · Shooter · Action

Guns, Gore and Cannoli 2
Shared: Side Scroller · Action · 2D

Contra: Operation Galuga
Shared: Shooter · Arcade · Shoot 'Em Up

METAL SLUG 2
Shared: Side Scroller · Shoot 'Em Up · Arcade

My Friend Pedro
Shared: Shooter · Action · Side Scroller

Blazing Chrome
Shared: Side Scroller · Shoot 'Em Up · Action

Nova Drift
Shared: Shoot 'Em Up · Arcade · Shooter

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

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

Knightmare Tower
Shared: Side Scroller · Shoot 'Em Up · Arcade

Contra Anniversary Collection
Shared: Side Scroller · Action · 2D

Sine Mora
Shared: Shoot 'Em Up · Side Scroller · Arcade

DARIUSBURST Chronicle Saviours
Shared: Shoot 'Em Up · Side Scroller · Arcade

Super Amazing Wagon Adventure
Shared: Side Scroller · Shoot 'Em Up · Perma Death

Streets of Rage 4
Shared: 2D · Action · Side Scroller