Games like Hell Maiden
Games like Hell Maiden include Megabonk, Vampire Survivors, Death Must Die, Halls of Torment, and Brotato. We matched them by the tags players give Hell Maiden on Steam (Action Roguelike, Bullet Heaven, Female Protagonist, Survival, and Roguelite): closest matches first, and among equally close ones the better-known games.

Megabonk
Shared: Action Roguelike · Bullet Heaven · Roguelite

Vampire Survivors
Shared: Action Roguelike · Roguelite · Bullet Hell

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

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

Brotato
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Soulstone Survivors
Shared: Action Roguelike · Bullet Heaven · Roguelite

Hades II
Shared: Action Roguelike · Roguelite · Female Protagonist

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

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Bullet Heaven · Roguelite

Hades
Shared: Action Roguelike · Roguelite · Roguelike

Yet Another Zombie Survivors
Shared: Bullet Heaven · Action Roguelike · Roguelite

20 Minutes Till Dawn
Shared: Action Roguelike · Survival · Roguelite

Boneraiser Minions
Shared: Action Roguelike · Roguelite · Bullet Heaven

暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · 2D

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

Be My Horde
Shared: Action Roguelike · Bullet Heaven · Roguelite

Arms of God
Shared: Action Roguelike · Bullet Heaven · Roguelite

Nova Drift
Shared: Action Roguelike · Roguelite · Bullet Heaven

Skul: The Hero Slayer
Shared: Action Roguelike · 2D · Roguelite

The Spell Brigade
Shared: Bullet Heaven · Action Roguelike · Roguelite

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

Rogue: Genesia
Shared: Bullet Heaven · Action Roguelike · Roguelite

Hero Siege
Shared: Action Roguelike · Action RPG · Roguelike

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Bullet Heaven · Roguelite