Games like Dark Thoughts
Games like Dark Thoughts include Megabonk, Vampire Survivors, Deep Rock Galactic: Survivor, Rogue: Genesia, and Skul: The Hero Slayer. We matched them by the tags players give Dark Thoughts on Steam (Action, Bullet Heaven, Psychological, Choices Matter, and PvE): closest matches first, and among equally close ones the better-known games.

Megabonk
Shared: Bullet Heaven · Action · Roguelite

Vampire Survivors
Shared: Roguelite · Singleplayer · Action

Deep Rock Galactic: Survivor
Shared: Bullet Heaven · PvE · Roguelite

Rogue: Genesia
Shared: Bullet Heaven · PvE · Choices Matter

Skul: The Hero Slayer
Shared: Action · Singleplayer · Roguelite

Death Must Die
Shared: Bullet Heaven · Action · Roguelite

Halls of Torment
Shared: Action · Roguelite · Bullet Heaven

BALL x PIT
Shared: Action · Roguelite · Bullet Heaven

Antivirus Survivors 2003 Professional
Shared: Bullet Heaven · Action · Roguelite

Soulstone Survivors
Shared: Bullet Heaven · Roguelite · Action

Boneraiser Minions
Shared: Bullet Heaven · Roguelite · Action

20 Minutes Till Dawn
Shared: Roguelite · Combat · Singleplayer

Tower of Babel: Survivors of Chaos
Shared: Bullet Heaven · Action · Roguelite

Hades
Shared: Action · Roguelite · Singleplayer

Sephiria
Shared: Action · Roguelite · Combat

Brotato
Shared: Bullet Heaven · Singleplayer · Roguelite

Undertale
Shared: Choices Matter · Singleplayer · Pixel Graphics

UnderMine
Shared: Action · Roguelite · Singleplayer

Karate Survivor
Shared: Bullet Heaven · Singleplayer · Roguelite

Atomicrops
Shared: Action · Bullet Heaven · Roguelite

Dungreed
Shared: Action · Roguelite · Singleplayer

The Binding of Isaac: Rebirth
Shared: Singleplayer · Pixel Graphics · Dark

Spirit Hunters: Infinite Horde
Shared: Bullet Heaven · Action · Roguelite

The Coffin of Andy and Leyley
Shared: Psychological · Choices Matter · Singleplayer