Games like Moon Tower
Games like Moon Tower include Vampire Survivors, 20 Minutes Till Dawn, Death Must Die, Halls of Torment, and BALL x PIT. We matched them by the tags players give Moon Tower on Steam (Action Roguelike, 2D Platformer, Bullet Hell, Shoot 'Em Up, and Roguelite): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

Death Must Die
Shared: Action Roguelike · Bullet Hell · Roguelite

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Roguelite

BALL x PIT
Shared: Bullet Hell · Roguelite · Action Roguelike

Nova Drift
Shared: Bullet Hell · Shoot 'Em Up · Action Roguelike

Star of Providence
Shared: Action Roguelike · Bullet Hell · Roguelite

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

暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · Action-Adventure

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

I Am Legion: Stand Survivors
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelite

UnderMine
Shared: Action Roguelike · Roguelite · RPG

Rocket Rats
Shared: Action Roguelike · Bullet Hell · Roguelite

Tiny Rogues
Shared: Action Roguelike · Bullet Hell · Roguelite

Skul: The Hero Slayer
Shared: Action Roguelike · Roguelite · 2D

Blazing Beaks
Shared: Action Roguelike · Roguelite · Shooter

Pass the Fear
Shared: Action Roguelike · Bullet Hell · Roguelite

Magicraft
Shared: Action Roguelike · Bullet Hell · Roguelite

Nordic Ashes: Survivors of Ragnarok
Shared: Action Roguelike · Bullet Hell · Roguelite

Cultivation Story: Reincarnation
Shared: Action Roguelike · Bullet Hell · Roguelite

Noobs Want to Live
Shared: Bullet Hell · Action Roguelike · Roguelite

Hades
Shared: Action Roguelike · Roguelite · Indie