Games like Lethal Running
Games like Lethal Running include Stoneshard, Vampire Survivors, Megabonk, The Binding of Isaac: Rebirth, and Streets of Rogue. We matched them by the tags players give Lethal Running on Steam (RPG, Roguelite, Pixel Graphics, Roguelike, and Cyberpunk): closest matches first, and among equally close ones the better-known games.

Stoneshard
Shared: RPG · Pixel Graphics · Roguelike

Vampire Survivors
Shared: Roguelite · Pixel Graphics · Roguelike

Megabonk
Shared: Roguelite · Roguelike · Indie

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

Streets of Rogue
Shared: Roguelite · Pixel Graphics · RPG

Moonlighter
Shared: Roguelite · Pixel Graphics · Roguelike

Neon Abyss
Shared: Roguelike · Pixel Graphics · Procedural Generation

Dungeon of the ENDLESS™
Shared: Roguelike · Pixel Graphics · RPG

Realm of the Mad God Exalt
Shared: Pixel Graphics · Roguelike · Roguelite

Hades
Shared: Roguelite · Roguelike · Indie

UnderMine
Shared: Roguelite · Pixel Graphics · RPG

NEO Scavenger
Shared: RPG · Roguelike · Post-apocalyptic

Halls of Torment
Shared: Roguelite · Pixel Graphics · Roguelike

Death Must Die
Shared: Roguelite · RPG · Pixel Graphics

Dome Keeper
Shared: Roguelike · Post-apocalyptic · Pixel Graphics

Sephiria
Shared: Roguelite · Roguelike · Pixel Graphics

Noita
Shared: Pixel Graphics · Roguelike · Indie

Nuclear Throne
Shared: Pixel Graphics · Roguelike · Roguelite

Dungreed
Shared: Pixel Graphics · Roguelite · Roguelike

Brotato
Shared: Roguelike · Roguelite · RPG

Children of Morta
Shared: Pixel Graphics · Roguelike · RPG

Skul: The Hero Slayer
Shared: Pixel Graphics · Roguelike · Roguelite

Magicite
Shared: RPG · Roguelike · Pixel Graphics

Delver
Shared: RPG · Pixel Graphics · Roguelite