Games like Meow Survivors
Games like Meow Survivors include Vampire Survivors, Megabonk, The Binding of Isaac: Rebirth, Halls of Torment, and BALL x PIT. We matched them by the tags players give Meow Survivors on Steam (Casual, Action Roguelike, Roguelike, Roguelite, and Arcade): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Roguelite · Pixel Graphics

Megabonk
Shared: Action Roguelike · Roguelike · Roguelite

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

Halls of Torment
Shared: Action Roguelike · Roguelite · Roguelike

BALL x PIT
Shared: Roguelite · Roguelike · Arcade

Brotato
Shared: Roguelike · Action Roguelike · Bullet Hell

Boneraiser Minions
Shared: Action Roguelike · Roguelite · Pixel Graphics

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

Death Must Die
Shared: Action Roguelike · Roguelite · Pixel Graphics

Dead Cells
Shared: Roguelike · Action Roguelike · Pixel Graphics

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

Noobs Want to Live
Shared: Roguelike · Action Roguelike · Casual

Seraph's Last Stand
Shared: Action Roguelike · Casual · Roguelike

Nuclear Throne
Shared: Action Roguelike · Roguelike · Pixel Graphics

Rocket Rats
Shared: Action Roguelike · Casual · Pixel Graphics

Balatro
Shared: Roguelike · Pixel Graphics · Roguelite

Hades
Shared: Action Roguelike · Roguelite · Roguelike

20 Minutes Till Dawn
Shared: Action Roguelike · Roguelite · Bullet Hell

Astro Prospector
Shared: Casual · Roguelike · Action Roguelike

Dungreed
Shared: Action Roguelike · Roguelike · Roguelite

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

Yet Another Zombie Survivors
Shared: Action Roguelike · Roguelite · Arcade

Soulstone Survivors
Shared: Action Roguelike · Roguelite · Roguelike

Sephiria
Shared: Action Roguelike · Roguelike · Roguelite