Games like I'm Not Sleepy
Games like I'm Not Sleepy include Vampire Survivors, Enter the Gungeon, Skul: The Hero Slayer, Megabonk, and The Binding of Isaac. We matched them by the tags players give I'm Not Sleepy on Steam (Action, Action Roguelike, Bullet Hell, Roguelike, and 2D): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · 2D

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

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

Megabonk
Shared: Action Roguelike · Roguelike · Bullet Hell

The Binding of Isaac
Shared: Action Roguelike · Roguelike · Action

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

Hades
Shared: Action Roguelike · Action · Roguelike

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

Nuclear Throne
Shared: Action Roguelike · Roguelike · Action

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Roguelike · Indie

Rogue Legacy
Shared: Action Roguelike · Roguelike · Action

Brotato
Shared: Roguelike · Bullet Hell · Action Roguelike

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Bullet Hell · Action

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

Hades II
Shared: Action · Roguelike · Action Roguelike

Dungreed
Shared: Action Roguelike · Action · Roguelike

Rabbit and Steel
Shared: Action Roguelike · Bullet Hell · Roguelike

Risk of Rain (2013)
Shared: Action Roguelike · Roguelike · Action

Hero Siege
Shared: Action Roguelike · Roguelike · Action

Noobs Want to Live
Shared: Bullet Hell · Action · Roguelike

Magicraft
Shared: Action Roguelike · Bullet Hell · Roguelike

I Am Legion: Stand Survivors
Shared: Action Roguelike · Bullet Hell · Roguelike

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

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelike