Games like Elite Exorcist Miko
Games like Elite Exorcist Miko include Vampire Survivors, Enter the Gungeon, BALL x PIT, Nova Drift, and Star of Providence. We matched them by the tags players give Elite Exorcist Miko on Steam (Shoot 'Em Up, Bullet Hell, Twin Stick Shooter, Action Roguelike, and Roguelite): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Bullet Hell · Action Roguelike · Roguelite

Enter the Gungeon
Shared: Bullet Hell · Action Roguelike · Roguelike

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

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

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

Megabonk
Shared: Action Roguelike · Bullet Hell · Roguelite

Voidigo
Shared: Twin Stick Shooter · Action Roguelike · Bullet Hell

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelike

Snezhinka:Sentinel Girls2
Shared: Twin Stick Shooter · Bullet Hell · Action Roguelike

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

Death Must Die
Shared: Bullet Hell · Action Roguelike · Roguelite

Halls of Torment
Shared: Bullet Hell · Action Roguelike · Roguelite

Marfusha:Sentinel Girls
Shared: Twin Stick Shooter · Action Roguelike · Female Protagonist

20 Minutes Till Dawn
Shared: Bullet Hell · Action Roguelike · Shoot 'Em Up

Time Wasters
Shared: Bullet Hell · Action Roguelike · Twin Stick Shooter

Rogue: Genesia
Shared: Bullet Hell · Action Roguelike · Roguelite

The Void Rains Upon Her Heart
Shared: Bullet Hell · Shoot 'Em Up · Action Roguelike

I Am Legion: Stand Survivors
Shared: Bullet Hell · Shoot 'Em Up · Action Roguelike

Dead Estate
Shared: Action Roguelike · Twin Stick Shooter · Bullet Hell

Super Amazing Wagon Adventure
Shared: Shoot 'Em Up · Action Roguelike · Twin Stick Shooter

Touhou Hero of Ice Fairy
Shared: Bullet Hell · Roguelite · Side Scroller

Slime 3K: Rise Against Despot
Shared: Bullet Hell · Action Roguelike · Shoot 'Em Up

Soulstone Survivors
Shared: Bullet Hell · Action Roguelike · Roguelite

Atomicrops
Shared: Bullet Hell · Action Roguelike · Roguelike