Games like Pixel Trouble
Games like Pixel Trouble include Skul: The Hero Slayer, SANABI, LIMBO, Blasphemous 2, and Anomaly Agent. We matched them by the tags players give Pixel Trouble on Steam (Side Scroller, 2D Platformer, Collectathon, Hidden Object, and Puzzle): closest matches first, and among equally close ones the better-known games.

Skul: The Hero Slayer
Shared: Roguelike · Pixel Graphics · Side Scroller

SANABI
Shared: 2D Platformer · Pixel Graphics · Adventure

LIMBO
Shared: Puzzle · Side Scroller · Dark

Blasphemous 2
Shared: 2D Platformer · Side Scroller · Fantasy

Anomaly Agent
Shared: Side Scroller · 2D Platformer · Roguelike

Momodora: Reverie Under The Moonlight
Shared: 2D Platformer · Side Scroller · Pixel Graphics

Rogue Legacy
Shared: Roguelike · Side Scroller · Indie

Celeste
Shared: 2D Platformer · Pixel Graphics · Indie

Webbed
Shared: 2D Platformer · Pixel Graphics · Puzzle

Pony Island
Shared: Puzzle · Pixel Graphics · Demons

30XX
Shared: 2D Platformer · Side Scroller · Roguelike

Shovel Knight: Treasure Trove
Shared: Pixel Graphics · Side Scroller · Adventure

Noita
Shared: Roguelike · Pixel Graphics · 2D Platformer

Librarian: Tidy Up the Arcane Library!
Shared: Collectathon · Puzzle · Hidden Object

NINJA GAIDEN: Ragebound
Shared: 2D Platformer · Side Scroller · Pixel Graphics

Braid
Shared: 2D Platformer · Puzzle · Indie

Trine 2: Complete Story
Shared: 2D Platformer · Puzzle · Fantasy

The Room
Shared: Puzzle · Hidden Object · Adventure

DISTRAINT: Deluxe Edition
Shared: Pixel Graphics · Adventure · Puzzle

Blade Assault
Shared: 2D Platformer · Roguelike · Side Scroller

Creepy Tale
Shared: 2D Platformer · Puzzle · Adventure

The Room Two
Shared: Puzzle · Hidden Object · Adventure

The Room Three
Shared: Puzzle · Hidden Object · Adventure

Songs for a Hero - Definitive Edition
Shared: 2D Platformer · Adventure · Soundtrack