Games like Grab and Guts
Games like Grab and Guts include DAVE THE DIVER, Terraria, Planes, Bullets and Vodka, Bit Blaster XL, and 20 Minutes Till Dawn. We matched them by the tags players give Grab and Guts on Steam (Spectacle fighter, Casual, Side Scroller, Shoot 'Em Up, and Adventure): closest matches first, and among equally close ones the better-known games.

DAVE THE DIVER
Shared: Casual · Adventure · Pixel Graphics

Terraria
Shared: Adventure · 2D · Survival

Planes, Bullets and Vodka
Shared: Casual · Shoot 'Em Up · Shooter

Bit Blaster XL
Shared: Shoot 'Em Up · Shooter · Casual

20 Minutes Till Dawn
Shared: Shoot 'Em Up · Survival · Casual

Huntdown
Shared: Side Scroller · Shoot 'Em Up · Shooter

Sonic Mania
Shared: 2D · Adventure · Side Scroller

METAL SLUG
Shared: Side Scroller · Shoot 'Em Up · 2D

Cyberhunt
Shared: Casual · Shoot 'Em Up · Adventure

Kero Blaster
Shared: Side Scroller · Shoot 'Em Up · Shooter

Home Behind
Shared: Adventure · Casual · Side Scroller

Broforce
Shared: Pixel Graphics · 2D · Side Scroller

Zombotron
Shared: Adventure · 2D · Shooter

Timberman
Shared: Casual · Pixel Graphics · 2D

Vampire Survivors
Shared: Casual · Pixel Graphics · 2D

Momodora: Reverie Under The Moonlight
Shared: Side Scroller · Spectacle fighter · Pixel Graphics

The Final Station
Shared: Adventure · Pixel Graphics · 2D

METAL SLUG X
Shared: Shoot 'Em Up · Side Scroller · 2D

Guns, Gore and Cannoli 2
Shared: Side Scroller · Shoot 'Em Up · 2D

SANABI
Shared: Adventure · Pixel Graphics · 2D

pureya
Shared: Casual · Side Scroller · 2D

ICEY
Shared: Side Scroller · Adventure · Spectacle fighter

Starbound
Shared: Adventure · Survival · Pixel Graphics

BEEP
Shared: Adventure · 2D · Casual