Games like Pirate Twist
Games like Pirate Twist include The Binding of Isaac, Skul: The Hero Slayer, Dead Cells, Vampire Survivors, and The Binding of Isaac: Rebirth. We matched them by the tags players give Pirate Twist on Steam (Action, Strategy, Action Roguelike, Roguelike, and 2D): closest matches first, and among equally close ones the better-known games.

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

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

Dead Cells
Shared: Roguelike · Action Roguelike · 2D

Vampire Survivors
Shared: Action Roguelike · 2D · Roguelike

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

Hades
Shared: Action Roguelike · Action · Roguelike

Nordic Ashes: Survivors of Ragnarok
Shared: Action Roguelike · Roguelike · Strategy

Heat Signature
Shared: Action · Roguelike · Strategy

FTL: Faster Than Light
Shared: Strategy · Roguelike · Indie

Rogue Legacy
Shared: Roguelike · Action · Action Roguelike

暖雪 Warm Snow
Shared: Action Roguelike · Roguelike · 2D

Enter the Gungeon
Shared: Action Roguelike · Roguelike · Action

UnderMine
Shared: Action Roguelike · Action · Top-Down

BALL x PIT
Shared: Action · Roguelike · Action Roguelike

Hades II
Shared: Action · Roguelike · Action Roguelike

Ravenswatch
Shared: Roguelike · Action Roguelike · Action

Dungreed
Shared: Action Roguelike · Action · Roguelike

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Action · Roguelike

Megabonk
Shared: Action Roguelike · Roguelike · Action

Spelunky
Shared: Action Roguelike · Roguelike · 2D

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

Door Kickers
Shared: Strategy · Action · Top-Down

Nuclear Throne
Shared: Action Roguelike · Roguelike · Action

Sephiria
Shared: Action Roguelike · Roguelike · Action