Games like Pairs & Perils
Games like Pairs & Perils include Slay the Spire, Slay the Spire 2, Balatro, 9 Kings, and Monster Train. We matched them by the tags players give Pairs & Perils on Steam (Card Battler, Roguelike Deckbuilder, Dungeon Crawler, Card Game, and Roguelike): closest matches first, and among equally close ones the better-known games.

Slay the Spire
Shared: Roguelike Deckbuilder · Card Battler · Card Game

Slay the Spire 2
Shared: Card Game · Roguelike · Roguelike Deckbuilder

Balatro
Shared: Roguelike Deckbuilder · Card Game · Roguelike

9 Kings
Shared: Strategy · Card Game · Roguelike

Monster Train
Shared: Card Battler · Card Game · Roguelike

Vampire Crawlers: The Turbo Wildcard from Vampire Survivors
Shared: Card Battler · Dungeon Crawler · Roguelike

Die in the Dungeon
Shared: Roguelike · Roguelike Deckbuilder · Card Game

Dicey Dungeons
Shared: Card Battler · Roguelike Deckbuilder · Roguelike

Super Fantasy Kingdom
Shared: Strategy · Roguelike · Card Game

Dungeons & Degenerate Gamblers
Shared: Roguelike Deckbuilder · Roguelike · Card Battler

Dice & Fold
Shared: Card Battler · Roguelike Deckbuilder · Dungeon Crawler

Across the Obelisk
Shared: Roguelike Deckbuilder · Casual · Card Game

He is Coming
Shared: Roguelike · Strategy · Dungeon Crawler

Astrea: Six-Sided Oracles
Shared: Roguelike Deckbuilder · Card Battler · Card Game

Breachway
Shared: Card Game · Roguelike Deckbuilder · Roguelike

Wildfrost
Shared: Card Battler · Roguelike Deckbuilder · Card Game

Inscryption
Shared: Card Battler · Card Game · Roguelike

Darkest Dungeon®
Shared: Dungeon Crawler · Roguelike · Turn-Based Combat

Hadean Tactics
Shared: Roguelike Deckbuilder · Card Battler · Card Game

DICEOMANCER
Shared: Card Battler · Roguelike Deckbuilder · Card Game

Knock on the Coffin Lid
Shared: Roguelike Deckbuilder · Card Battler · Card Game

Griftlands
Shared: Card Battler · Card Game · Roguelite

As We Descend
Shared: Card Battler · Roguelike Deckbuilder · Card Game

HELLCARD
Shared: Card Battler · Roguelike · Dungeon Crawler