Games like Grimrush
Games like Grimrush include Savant - Ascent, The Binding of Isaac, SYNTHETIK: Legion Rising, The Binding of Isaac: Rebirth, and Sky Force Reloaded. We matched them by the tags players give Grimrush on Steam (Action, Indie, Score Attack, Boss Rush, and Shoot 'Em Up): closest matches first, and among equally close ones the better-known games.

Savant - Ascent
Shared: Action · Indie · Shoot 'Em Up

The Binding of Isaac
Shared: Indie · Action · Replay Value

SYNTHETIK: Legion Rising
Shared: Indie · Action · Top-Down Shooter

The Binding of Isaac: Rebirth
Shared: Indie · Replay Value · Difficult

Sky Force Reloaded
Shared: Shoot 'Em Up · Action · Top-Down Shooter

Hotline Miami
Shared: Action · Indie · Difficult

Super Hexagon
Shared: Indie · Difficult · Action

Hades
Shared: Indie · Action · Replay Value

RUINER
Shared: Action · Indie · Top-Down Shooter

Monster Hunter: World
Shared: Action · Character Customization · Difficult

Furi
Shared: Boss Rush · Shoot 'Em Up · Action

Titan Souls
Shared: Indie · Action · Boss Rush

The Void Rains Upon Her Heart
Shared: Indie · Action · Shoot 'Em Up

Skul: The Hero Slayer
Shared: Action · Indie · Difficult

Nuclear Throne
Shared: Indie · Action · Difficult

Dead
Shared: Action · Indie · Top-Down Shooter

Hotline Miami 2: Wrong Number
Shared: Action · Indie · Difficult

The Hong Kong Massacre
Shared: Action · Indie · Top-Down Shooter

Blackout Z: Slaughterhouse Edition
Shared: Action · Indie · Top-Down Shooter

Cyberhunt
Shared: Action · Indie · Shoot 'Em Up

Bit Blaster XL
Shared: Shoot 'Em Up · Action · Difficult

XENOTILT: HOSTILE PINBALL ACTION
Shared: Action · Indie · Score Attack

Jet Lancer
Shared: Action · Indie · Shoot 'Em Up

Polygoneer
Shared: Indie · Action · Shoot 'Em Up