Games like Cosa Nostra
Games like Cosa Nostra include Hotline Miami, My Friend Pedro, Hotline Miami 2: Wrong Number, Party Hard, and Paint the Town Red. We matched them by the tags players give Cosa Nostra on Steam (Action, Gore, Violent, Indie, and Strategy): closest matches first, and among equally close ones the better-known games.

Hotline Miami
Shared: Action · Violent · Indie

My Friend Pedro
Shared: Action · Gore · Indie

Hotline Miami 2: Wrong Number
Shared: Gore · Action · Violent

Party Hard
Shared: Violent · Strategy · Action

Paint the Town Red
Shared: Gore · Action · Violent

DOOM Eternal
Shared: Gore · Action · Violent

CARRION
Shared: Gore · Action · Indie

Chivalry: Medieval Warfare
Shared: Action · Gore · Violent

Happy Room
Shared: Gore · Action · Violent

GORN
Shared: Gore · Action · Violent

People Playground
Shared: Gore · Violent · Action

Serious Sam Fusion 2017 (beta)
Shared: Action · Gore · Violent

Mortal Kombat 11
Shared: Gore · Action · Violent

Ape Out
Shared: Gore · Violent · Action

RUINER
Shared: Action · Indie · Violent

Ultimate Epic Battle Simulator
Shared: Action · Strategy · Violent

Blasphemous
Shared: Gore · Violent · Indie

Maximum Action
Shared: Action · Gore · Violent

DOKA 2 KISHKI EDITION
Shared: Gore · Violent · Action

Serious Sam 4
Shared: Action · Gore · Violent

Bright Memory: Infinite
Shared: Action · Indie · Gore

Mortal Kombat X
Shared: Gore · Action · Violent

Sword With Sauce
Shared: Action · Gore · Violent

171
Shared: Action · Indie · Gore