Games like Negative Time
Games like Negative Time include Nuclear Throne, Enter the Gungeon, Vampire Survivors, SYNTHETIK: Legion Rising, and Skul: The Hero Slayer. We matched them by the tags players give Negative Time on Steam (Top-Down Shooter, Indie, Time Manipulation, Difficult, and Action): closest matches first, and among equally close ones the better-known games.

Nuclear Throne
Shared: Indie · Difficult · Top-Down Shooter

Enter the Gungeon
Shared: Bullet Hell · Difficult · Indie

Vampire Survivors
Shared: Bullet Hell · Indie · Roguelite

SYNTHETIK: Legion Rising
Shared: Top-Down Shooter · Indie · Action

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

BALL x PIT
Shared: Action · Roguelite · Top-Down Shooter

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

Hotline Miami
Shared: Indie · Action · Pixel Graphics

Hotline Miami 2: Wrong Number
Shared: Action · Difficult · Pixel Graphics

Star of Providence
Shared: Indie · Bullet Hell · Roguelite

Tiny Rogues
Shared: Top-Down Shooter · Bullet Hell · Difficult

Megabonk
Shared: Indie · Roguelite · Action Roguelike

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

20 Minutes Till Dawn
Shared: Top-Down Shooter · Bullet Hell · Action Roguelike

Hades
Shared: Indie · Roguelite · Action

Dungreed
Shared: Indie · Action · Pixel Graphics

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

Voidigo
Shared: Top-Down Shooter · Bullet Hell · Action Roguelike

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

Noita
Shared: Difficult · Indie · Pixel Graphics

Risk of Rain (2013)
Shared: Indie · Action · Action Roguelike

Katana ZERO
Shared: Action · Pixel Graphics · Indie

Relic Hunters Zero: Remix
Shared: Top-Down Shooter · Action · Twin Stick Shooter

Blazing Beaks
Shared: Top-Down Shooter · Action · Action Roguelike