Games like Grotesque Realm
Games like Grotesque Realm include HELLDIVERS™ 2, Borderlands 2, PUBG: BATTLEGROUNDS, Left 4 Dead 2, and ARC Raiders. We matched them by the tags players give Grotesque Realm on Steam (Action, Shooter, Looter Shooter, Crafting, and Character Customization): closest matches first, and among equally close ones the better-known games.

HELLDIVERS™ 2
Shared: Shooter · Action · PvE

Borderlands 2
Shared: Shooter · Action · Looter Shooter

PUBG: BATTLEGROUNDS
Shared: Shooter · Action · Multiplayer

Left 4 Dead 2
Shared: Shooter · Action · Multiplayer

ARC Raiders
Shared: Shooter · PvE · Multiplayer

OUTRIDERS
Shared: Looter Shooter · Action · Shooter

Destiny 2
Shared: Looter Shooter · Shooter · PvE

PAYDAY 2
Shared: Action · Looter Shooter · Shooter

Rust
Shared: Crafting · Action · Multiplayer

Warhammer 40,000: Darktide
Shared: PvE · Combat · Gore

Borderlands 3
Shared: Looter Shooter · Action · Shooter

The First Descendant
Shared: Looter Shooter · Action · Shooter

Tom Clancy’s The Division® 2
Shared: Looter Shooter · Shooter · Action

Back 4 Blood
Shared: Shooter · Action · Gore

Ghosts of Tabor
Shared: Action · Looter Shooter · Shooter

Risk of Rain 2
Shared: Action · Looter Shooter · Shooter

Tom Clancy’s The Division™
Shared: Looter Shooter · Action · Shooter

Blood and Bacon
Shared: Shooter · Action · Gore

Warframe
Shared: Looter Shooter · Action · Character Customization

Ready or Not
Shared: Shooter · Action · Multiplayer

Pixel Gun 3D: PC Edition
Shared: Shooter · Action · Character Customization

Apex Legends™
Shared: Shooter · Action · Multiplayer

How to Fish
Shared: Shooter · Multiplayer · Indie

ARK: Survival Ascended
Shared: Crafting · Action · Multiplayer