Games like HOLY COW! Milking Simulator
Games like HOLY COW! Milking Simulator include BALL x PIT, Bit Blaster XL, Cuphead, Sky Force Reloaded, and Planes, Bullets and Vodka. We matched them by the tags players give HOLY COW! Milking Simulator on Steam (Arcade, Shoot 'Em Up, Action, Bullet Hell, and Difficult): closest matches first, and among equally close ones the better-known games.

BALL x PIT
Shared: Arcade · Action · Bullet Hell

Bit Blaster XL
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Cuphead
Shared: Difficult · 2D · Bullet Hell

Sky Force Reloaded
Shared: Arcade · Shoot 'Em Up · Bullet Hell

Planes, Bullets and Vodka
Shared: Shoot 'Em Up · Action · Arcade

Vampire Survivors
Shared: Bullet Hell · Arcade · 2D

LUFTRAUSERS
Shared: Arcade · Bullet Hell · Action

Ikaruga
Shared: Shoot 'Em Up · Arcade · Bullet Hell

Exit the Gungeon
Shared: Arcade · Action · Bullet Hell

Mushihimesama
Shared: Shoot 'Em Up · Arcade · Bullet Hell

METAL SLUG
Shared: Arcade · Action · Shoot 'Em Up

Cyberhunt
Shared: Action · Shoot 'Em Up · Arcade

A Dance of Fire and Ice
Shared: Difficult · Arcade · 2D

Bot Vice
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Touhou Tenkuushou ~ Hidden Star in Four Seasons.
Shared: Bullet Hell · Shoot 'Em Up · Difficult

Touhou Koumakyou: New Classic - the Embodiment of Scarlet Devil
Shared: Shoot 'Em Up · Bullet Hell · Difficult

TEKKEN 7
Shared: Action · Arcade · Local Multiplayer

Nova Drift
Shared: Shoot 'Em Up · Arcade · Bullet Hell

Chippy
Shared: Bullet Hell · Shoot 'Em Up · Arcade

Castle Crashers®
Shared: 2D · Action · Co-op

DoDonPachi Resurrection
Shared: Shoot 'Em Up · Arcade · Bullet Hell

METAL SLUG X
Shared: Arcade · Action · Shoot 'Em Up

Revolution Ace
Shared: Shoot 'Em Up · Action · Bullet Hell

TouHou Makuka Sai ~ Fantastic Danmaku Festival
Shared: Bullet Hell · Action · Shoot 'Em Up