Games like Death's Toll
Games like Death's Toll include Enter the Gungeon, The Binding of Isaac: Rebirth, Vampire Survivors, Nuclear Throne, and Skul: The Hero Slayer. We matched them by the tags players give Death's Toll on Steam (Funny, Action Roguelike, Exploration, Roguelite, and Pixel Graphics): closest matches first, and among equally close ones the better-known games.

Enter the Gungeon
Shared: Action Roguelike · Pixel Graphics · Difficult

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Pixel Graphics · Difficult

Vampire Survivors
Shared: Action Roguelike · Roguelite · Pixel Graphics

Nuclear Throne
Shared: Action Roguelike · Pixel Graphics · Difficult

Skul: The Hero Slayer
Shared: Action Roguelike · Pixel Graphics · Roguelite

Dead Cells
Shared: Action Roguelike · Pixel Graphics · Roguelite

Streets of Rogue
Shared: Action Roguelike · Roguelite · Pixel Graphics

Content Warning
Shared: Exploration · Action Roguelike · Funny

UnderMine
Shared: Action Roguelike · Roguelite · Pixel Graphics

Hero Siege
Shared: Action Roguelike · Pixel Graphics · Top-Down

Wizard of Legend
Shared: Action Roguelike · Pixel Graphics · Roguelite

Rain World
Shared: Exploration · Difficult · Pixel Graphics

Dungeon Munchies
Shared: Funny · Pixel Graphics · Exploration

Dungreed
Shared: Action Roguelike · Pixel Graphics · Roguelite

Noita
Shared: Pixel Graphics · Difficult · Action Roguelike

MIMESIS
Shared: Funny · Exploration · PvE

Halls of Torment
Shared: Action Roguelike · Roguelite · Pixel Graphics

Risk of Rain (2013)
Shared: Action Roguelike · Pixel Graphics · Difficult

Shape of Dreams
Shared: Action Roguelike · Roguelite · PvE

Hyper Light Drifter
Shared: Pixel Graphics · Difficult · Exploration

Voidigo
Shared: Action Roguelike · Funny · Roguelite

Lethal Company
Shared: Funny · Exploration · PvE

The Binding of Isaac
Shared: Action Roguelike · Difficult · Top-Down

Sephiria
Shared: Action Roguelike · Roguelite · Pixel Graphics