Games like Evil Heart Fever
Games like Evil Heart Fever include Vampire Survivors, BALL x PIT, 20 Minutes Till Dawn, Nova Drift, and Megabonk. We matched them by the tags players give Evil Heart Fever on Steam (Action Roguelike, Bullet Hell, Shoot 'Em Up, Roguelite, and Perma Death): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

BALL x PIT
Shared: Bullet Hell · Roguelite · Action Roguelike

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

Nova Drift
Shared: Bullet Hell · Shoot 'Em Up · Action Roguelike

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

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

Star of Providence
Shared: Bullet Hell · Action Roguelike · Roguelite

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

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

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelike

Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite

Seraph's Last Stand
Shared: Action Roguelike · Bullet Hell · 2D

Rocket Rats
Shared: Action Roguelike · Bullet Hell · Roguelite

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

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

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

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Noobs Want to Live
Shared: Bullet Hell · Action Roguelike · Roguelike

Magicraft
Shared: Action Roguelike · Bullet Hell · Roguelite

Voidigo
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

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

Dead Estate
Shared: Action Roguelike · Bullet Hell · Roguelike

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Dungreed
Shared: Action Roguelike · Roguelite · Roguelike