Games like MineRalph
Games like MineRalph include Super Meat Boy, Celeste, Downwell, Pizza Tower, and Katana ZERO. We matched them by the tags players give MineRalph on Steam (Precision Platformer, Difficult, Fast-Paced, Pixel Graphics, and Platformer): closest matches first, and among equally close ones the better-known games.

Super Meat Boy
Shared: Precision Platformer · Difficult · Platformer

Celeste
Shared: Precision Platformer · Difficult · Pixel Graphics

Downwell
Shared: Precision Platformer · Pixel Graphics · Platformer

Pizza Tower
Shared: Fast-Paced · 2D Platformer · Platformer

Katana ZERO
Shared: Pixel Graphics · Platformer · 2D Platformer

VVVVVV
Shared: Precision Platformer · Pixel Graphics · Platformer

Geometry Dash
Shared: Difficult · Precision Platformer · Platformer

Jump King
Shared: Difficult · Precision Platformer · Pixel Graphics

SANABI
Shared: Pixel Graphics · 2D Platformer · Difficult

Bzzzt
Shared: Precision Platformer · Pixel Graphics · Difficult

Noita
Shared: Difficult · Pixel Graphics · Physics

Gravity Circuit
Shared: Platformer · Pixel Graphics · Fast-Paced

Rain World
Shared: Difficult · Pixel Graphics · Platformer

The End Is Nigh
Shared: Precision Platformer · Difficult · Platformer

Hotline Miami 2: Wrong Number
Shared: Pixel Graphics · Fast-Paced · Difficult

Spelunky 2
Shared: Difficult · Platformer · 2D Platformer

Bread & Fred
Shared: Pixel Graphics · Difficult · Precision Platformer

N++ (NPLUSPLUS)
Shared: Precision Platformer · Difficult · 2D Platformer

Shovel Knight: Treasure Trove
Shared: Pixel Graphics · Platformer · Difficult

Ambidextro
Shared: Precision Platformer · Pixel Graphics · 2D Platformer

Super Meat Boy Forever
Shared: Difficult · Precision Platformer · Platformer

Windswept
Shared: Difficult · Precision Platformer · Platformer

Cuphead
Shared: Difficult · Platformer · Co-op

Super Hexagon
Shared: Difficult · Fast-Paced · Arcade