Games like Level Tank
Games like Level Tank include Vampire Survivors, The Binding of Isaac: Rebirth, BALL x PIT, Nuclear Throne, and Enter the Gungeon. We matched them by the tags players give Level Tank on Steam (Shoot 'Em Up, Roguelite, Top-Down Shooter, Replay Value, and Difficult): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Roguelite · Action Roguelike · Pixel Graphics

The Binding of Isaac: Rebirth
Shared: Replay Value · Difficult · Action Roguelike

BALL x PIT
Shared: Roguelite · Shoot 'Em Up · Top-Down Shooter

Nuclear Throne
Shared: Difficult · Pixel Graphics · Roguelite

Enter the Gungeon
Shared: Difficult · Pixel Graphics · Action Roguelike

Tiny Rogues
Shared: Top-Down Shooter · Replay Value · Roguelite

Star of Providence
Shared: Roguelite · Shoot 'Em Up · Action Roguelike

Dead Cells
Shared: Roguelite · 2D · Pixel Graphics

20 Minutes Till Dawn
Shared: Roguelite · Shoot 'Em Up · Top-Down Shooter

Skul: The Hero Slayer
Shared: Roguelite · Pixel Graphics · 2D

The Binding of Isaac
Shared: Replay Value · Difficult · Action Roguelike

Voidigo
Shared: Shoot 'Em Up · Roguelite · Action Roguelike

Noita
Shared: Difficult · Pixel Graphics · 2D

Hades
Shared: Roguelite · Action Roguelike · Indie

SNKRX
Shared: Roguelite · Shoot 'Em Up · Top-Down Shooter

SYNTHETIK: Legion Rising
Shared: Roguelite · Top-Down Shooter · Difficult

Dead Estate
Shared: Shoot 'Em Up · Difficult · Action Roguelike

Halls of Torment
Shared: Roguelite · Action Roguelike · Pixel Graphics

Nova Drift
Shared: Shoot 'Em Up · Roguelite · Action Roguelike

Dungreed
Shared: Roguelite · Pixel Graphics · Action Roguelike

Megabonk
Shared: Roguelite · Action Roguelike · Indie

Risk of Rain (2013)
Shared: Action Roguelike · Pixel Graphics · Indie

Spelunky
Shared: Difficult · 2D · Replay Value

Talented
Shared: Roguelite · Shoot 'Em Up · Pixel Graphics