Games like Death: The Ascension
Games like Death: The Ascension include Balatro, Stacklands, Slay the Spire, Luck be a Landlord, and Slay the Spire 2. We matched them by the tags players give Death: The Ascension on Steam (Roguelike Deckbuilder, Tabletop, Management, Medieval, and Card Game): closest matches first, and among equally close ones the better-known games.

Balatro
Shared: Roguelike Deckbuilder · Card Game · Strategy

Stacklands
Shared: Management · Card Game · Roguelite

Slay the Spire
Shared: Roguelike Deckbuilder · Card Game · Strategy

Luck be a Landlord
Shared: Roguelike Deckbuilder · Roguelite · Strategy

Slay the Spire 2
Shared: Card Game · Roguelike Deckbuilder · Strategy

Meme Mayhem
Shared: Roguelike Deckbuilder · Card Game · Singleplayer

Crusader Kings III
Shared: Medieval · Strategy · Management

Sultan's Game
Shared: Card Game · Singleplayer · Strategy

TCG Card Shop Simulator
Shared: Management · Capitalism · Card Game

Tavern Master
Shared: Management · Medieval · Strategy

Cultist Simulator
Shared: Card Game · Management · Tabletop

Foundation
Shared: Medieval · Management · Strategy

Dungeons & Degenerate Gamblers
Shared: Roguelike Deckbuilder · Card Game · Strategy

9 Kings
Shared: Roguelike Deckbuilder · Strategy · Card Game

Potion Craft: Alchemist Simulator
Shared: Medieval · Management · Singleplayer

Game Dev Tycoon
Shared: Management · Strategy · Singleplayer

Dicey Dungeons
Shared: Roguelike Deckbuilder · Roguelite · Card Game

RACCOIN: Coin Pusher Roguelike
Shared: Roguelike Deckbuilder · Strategy · Singleplayer

Cities: Skylines
Shared: Management · Strategy · Singleplayer

Turmoil
Shared: Management · Strategy · Singleplayer

Ratropolis
Shared: Roguelite · Card Game · Strategy

Mount & Blade II: Bannerlord
Shared: Medieval · Strategy · Singleplayer

911 Operator
Shared: Management · Strategy · Singleplayer

UNO
Shared: Tabletop · Card Game · Strategy