Games like Cosmophage
Games like Cosmophage include Celeste, Super Meat Boy, Downwell, Bit Blaster XL, and VVVVVV. We matched them by the tags players give Cosmophage on Steam (Bullet Hell, Shoot 'Em Up, Precision Platformer, 2D Platformer, and Nonlinear): closest matches first, and among equally close ones the better-known games.

Celeste
Shared: Precision Platformer · 2D Platformer · Platformer

Super Meat Boy
Shared: Precision Platformer · 2D Platformer · Platformer

Downwell
Shared: Precision Platformer · 2D Platformer · Platformer

Bit Blaster XL
Shared: Bullet Hell · Shoot 'Em Up · 2D

VVVVVV
Shared: Precision Platformer · 2D Platformer · Platformer

Nova Drift
Shared: Bullet Hell · Shoot 'Em Up · Arcade

LUFTRAUSERS
Shared: Bullet Hell · Shoot 'Em Up · 2D

Huntdown
Shared: Shoot 'Em Up · Action · 2D

Vampire Survivors
Shared: Bullet Hell · 2D · Pixel Graphics

Beat Hazard
Shared: Bullet Hell · Shoot 'Em Up · Twin Stick Shooter

BALL x PIT
Shared: Bullet Hell · Shoot 'Em Up · Action

ZeroRanger
Shared: Shoot 'Em Up · Bullet Hell · Action

Bleed 2
Shared: Shoot 'Em Up · Bullet Hell · Action

Rise & Shine
Shared: Bullet Hell · 2D Platformer · Shoot 'Em Up

Enter the Gungeon
Shared: Bullet Hell · Twin Stick Shooter · Pixel Graphics

Katana ZERO
Shared: 2D Platformer · Platformer · Action

Warhammer 40,000: Shootas, Blood & Teef
Shared: Shoot 'Em Up · Bullet Hell · 2D Platformer

Star of Providence
Shared: Bullet Hell · Shoot 'Em Up · Action

SANABI
Shared: 2D Platformer · Action · 2D

Exit the Gungeon
Shared: Bullet Hell · 2D Platformer · Action

Leap Year
Shared: Precision Platformer · 2D Platformer · Platformer

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

Himno
Shared: Platformer · 2D · 2D Platformer

Ambidextro
Shared: Precision Platformer · 2D Platformer · Platformer