Games like Cotton Tale
Games like Cotton Tale include Celeste, Jump King, Super Meat Boy, Geometry Dash, and SANABI. We matched them by the tags players give Cotton Tale on Steam (Precision Platformer, Difficult, Psychological Horror, Pixel Graphics, and Action): closest matches first, and among equally close ones the better-known games.

Celeste
Shared: Precision Platformer · Difficult · Pixel Graphics

Jump King
Shared: Difficult · Precision Platformer · Psychological Horror

Super Meat Boy
Shared: Precision Platformer · Difficult · Pixel Graphics

Geometry Dash
Shared: Difficult · Precision Platformer · 2D

SANABI
Shared: Pixel Graphics · Action · Adventure

VVVVVV
Shared: Precision Platformer · Pixel Graphics · Difficult

Skul: The Hero Slayer
Shared: Action · Pixel Graphics · 2D

Changed
Shared: Difficult · Psychological Horror · Pixel Graphics

A Difficult Game About Climbing
Shared: Difficult · Psychological Horror · Precision Platformer

Getting Over It with Bennett Foddy
Shared: Difficult · Psychological Horror · Singleplayer

Pogostuck: Rage With Your Friends
Shared: Difficult · Precision Platformer · Psychological Horror

Downwell
Shared: Precision Platformer · Pixel Graphics · Difficult

Hollow Knight
Shared: Difficult · 2D · Singleplayer

Shovel Knight: Treasure Trove
Shared: Pixel Graphics · Difficult · Adventure

Noita
Shared: Difficult · Pixel Graphics · Physics

Rain World
Shared: Difficult · Pixel Graphics · 2D

The End Is Nigh
Shared: Precision Platformer · Difficult · Adventure

Katana ZERO
Shared: Pixel Graphics · Action · 2D Platformer

Hollow Knight: Silksong
Shared: Difficult · 2D · Singleplayer

Webbed
Shared: Pixel Graphics · 2D Platformer · Cute

Bread & Fred
Shared: Pixel Graphics · Difficult · Precision Platformer

I wanna be the Creator
Shared: Action · Difficult · Precision Platformer

Momodora: Reverie Under The Moonlight
Shared: Pixel Graphics · Difficult · 2D Platformer

Super Meat Boy Forever
Shared: Difficult · Precision Platformer · Action