Games like Paranoid
Games like Paranoid include Vampire Survivors, Skul: The Hero Slayer, Dead Cells, The Binding of Isaac: Rebirth, and Halls of Torment. We matched them by the tags players give Paranoid on Steam (Action, Roguelike, Roguelite, Pixel Graphics, and Procedural Generation): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Roguelite · Action Roguelike · Pixel Graphics

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

Dead Cells
Shared: Roguelike · Pixel Graphics · Action Roguelike

The Binding of Isaac: Rebirth
Shared: Roguelike · Action Roguelike · Pixel Graphics

Halls of Torment
Shared: Roguelite · Action Roguelike · Pixel Graphics

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

Hades
Shared: Roguelite · Action · Action Roguelike

Megabonk
Shared: Roguelike · Roguelite · Action Roguelike

Dungreed
Shared: Roguelike · Pixel Graphics · Action

Nuclear Throne
Shared: Roguelike · Pixel Graphics · Action Roguelike

BALL x PIT
Shared: Action · Roguelite · Roguelike

Death Must Die
Shared: Roguelite · Action Roguelike · Pixel Graphics

UnderMine
Shared: Roguelite · Pixel Graphics · Action Roguelike

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

Rogue Legacy
Shared: Roguelike · Action · Action Roguelike

Sephiria
Shared: Roguelike · Roguelite · Action Roguelike

Hades II
Shared: Action · Roguelike · Roguelite

Streets of Rogue
Shared: Roguelite · Pixel Graphics · Roguelike

Risk of Rain 2
Shared: Roguelike · Action Roguelike · Action

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

暖雪 Warm Snow
Shared: Roguelite · Roguelike · Action Roguelike

Star of Providence
Shared: Roguelite · Action · Action Roguelike

Wizard of Legend
Shared: Roguelike · Pixel Graphics · Action Roguelike

Noita
Shared: Roguelike · Pixel Graphics · 2D