Games like Meow Defence
Games like Meow Defence include Vampire Survivors, Megabonk, Noobs Want to Live, Brotato, and Balatro. We matched them by the tags players give Meow Defence on Steam (Roguelike, Bullet Hell, Cats, 2.5D, and Singleplayer): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Bullet Hell · Roguelite · Roguelike

Megabonk
Shared: Roguelike · Bullet Hell · Roguelite

Noobs Want to Live
Shared: Roguelike · Bullet Hell · 2.5D

Brotato
Shared: Roguelike · Bullet Hell · Singleplayer

Balatro
Shared: Roguelike · Singleplayer · Deckbuilding

Hades
Shared: Roguelike · Roguelite · Singleplayer

Death Must Die
Shared: Bullet Hell · Roguelite · Roguelike

Apocalypse Party
Shared: Singleplayer · Casual · Bullet Hell

Soulstone Survivors
Shared: Bullet Hell · Roguelike · Roguelite

Hades II
Shared: Roguelike · Roguelite · Action

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

Magicraft
Shared: Bullet Hell · Roguelike · Roguelite

Halls of Torment
Shared: Bullet Hell · Roguelike · Roguelite

Enter the Gungeon
Shared: Bullet Hell · Roguelike · Indie

Slay the Spire
Shared: Roguelike · Singleplayer · Deckbuilding

RACCOIN: Coin Pusher Roguelike
Shared: Roguelike · Singleplayer · Casual

Slay the Spire 2
Shared: Roguelike · Deckbuilding · Roguelite

BALL x PIT
Shared: Bullet Hell · Roguelike · Roguelite

AK-xolotl: Together
Shared: Bullet Hell · Roguelike · Singleplayer

Cat Goes Fishing
Shared: Cats · Casual · Singleplayer

Astro Prospector
Shared: Roguelike · Bullet Hell · Casual

Skul: The Hero Slayer
Shared: Roguelike · Singleplayer · Roguelite

Nuclear Throne
Shared: Roguelike · Bullet Hell · Roguelite

Rocket Rats
Shared: Bullet Hell · Casual · Singleplayer