Games like Mushihimesama V1.5
Games like Mushihimesama V1.5 include BALL x PIT, Vampire Survivors, Returnal™, Atomicrops, and Halls of Torment. We matched them by the tags players give Mushihimesama V1.5 on Steam (Action, Bullet Hell, and Downloadable Content): closest matches first, and among equally close ones the better-known games.

BALL x PIT
Shared: Action · Bullet Hell

Vampire Survivors
Shared: Bullet Hell · Action

Returnal™
Shared: Action · Bullet Hell

Atomicrops
Shared: Action · Bullet Hell

Halls of Torment
Shared: Bullet Hell · Action

Death Must Die
Shared: Bullet Hell · Action

Enter the Gungeon
Shared: Bullet Hell · Action

Noobs Want to Live
Shared: Bullet Hell · Action

Megabonk
Shared: Bullet Hell · Action

Windowkill
Shared: Action · Bullet Hell

Touhou Koumakyou: New Classic - the Embodiment of Scarlet Devil
Shared: Bullet Hell · Action

LUFTRAUSERS
Shared: Bullet Hell · Action

Just Shapes & Beats
Shared: Bullet Hell · Action

Archvale
Shared: Action · Bullet Hell

Angel at Dusk
Shared: Action · Bullet Hell

Furi
Shared: Bullet Hell · Action

Monsters are Coming!
Shared: Action · Bullet Hell

Touhou Kouryudou ~ Unconnected Marketeers.
Shared: Bullet Hell · Action

Soulstone Survivors
Shared: Bullet Hell · Action

Bit Blaster XL
Shared: Bullet Hell · Action

Grand Theft Auto V Legacy
Shared: Action

Tower of Babel: Survivors of Chaos
Shared: Bullet Hell · Action

Planes, Bullets and Vodka
Shared: Action · Bullet Hell

Nuclear Throne
Shared: Bullet Hell · Action