Games like Genkai: Primal Awakening
Games like Genkai: Primal Awakening include Slay the Spire, Balatro, Slay the Spire 2, Dicey Dungeons, and Wildfrost. We matched them by the tags players give Genkai: Primal Awakening on Steam (Roguelike Deckbuilder, Card Game, Card Battler, Roguelike, and Strategy): closest matches first, and among equally close ones the better-known games.

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

Balatro
Shared: Card Game · Roguelike Deckbuilder · Roguelike

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

Dicey Dungeons
Shared: Roguelike Deckbuilder · Card Battler · Roguelike

Wildfrost
Shared: Roguelike Deckbuilder · Card Battler · Card Game

9 Kings
Shared: Strategy · Card Game · Roguelike

DICEOMANCER
Shared: Card Game · Roguelike Deckbuilder · Card Battler

Monster Train
Shared: Card Battler · Card Game · Roguelike

Die in the Dungeon
Shared: Roguelike · Card Game · Roguelike Deckbuilder

Vampire Crawlers: The Turbo Wildcard from Vampire Survivors
Shared: Card Battler · Roguelike · Deckbuilding

Yao-Guai Hunter
Shared: Roguelike Deckbuilder · Card Game · Roguelike

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

Inscryption
Shared: Card Game · Card Battler · Deckbuilding

Monster Train 2
Shared: Roguelike Deckbuilder · Card Game · Roguelike

Roguebook
Shared: Card Game · Deckbuilding · Strategy

My Card Is Better Than Your Card!
Shared: Card Game · Roguelike · Roguelike Deckbuilder

Astrea: Six-Sided Oracles
Shared: Roguelike Deckbuilder · Card Battler · Card Game

Griftlands
Shared: Card Battler · Deckbuilding · Card Game

Super Fantasy Kingdom
Shared: Strategy · Roguelike · Card Game

Knock on the Coffin Lid
Shared: Roguelike Deckbuilder · Card Game · Card Battler

Black Jacket
Shared: Roguelike Deckbuilder · Card Game · Roguelike

Breachway
Shared: Card Game · Roguelike · Roguelike Deckbuilder

Cubic Cosmos
Shared: Roguelike Deckbuilder · Card Battler · Card Game

Indies' Lies
Shared: Roguelike Deckbuilder · Card Game · Card Battler