Games like Guns and Rush
Games like Guns and Rush include Vampire Survivors, Halls of Torment, BALL x PIT, Death Must Die, and 20 Minutes Till Dawn. We matched them by the tags players give Guns and Rush on Steam (Action Roguelike, Bullet Hell, Shoot 'Em Up, Top-Down Shooter, and Roguelite): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

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

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

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

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelike

Hero Siege
Shared: Action Roguelike · Action RPG · Pixel Graphics

Megabonk
Shared: Action Roguelike · Bullet Hell · Roguelite

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

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

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Tiny Rogues
Shared: Action Roguelike · Bullet Hell · Top-Down Shooter

Nordic Ashes: Survivors of Ragnarok
Shared: Action Roguelike · Bullet Hell · Roguelite

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

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

Slime 3K: Rise Against Despot
Shared: Action Roguelike · Bullet Hell · Roguelite

Hades
Shared: Action Roguelike · Roguelite · Roguelike

Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite

Magicraft
Shared: Action Roguelike · Bullet Hell · Roguelite

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

FatalZone
Shared: Action Roguelike · Bullet Hell · Roguelite