Games like Pizza Death
Games like Pizza Death include Hotline Miami, Insect Swarm, Hotline Miami 2: Wrong Number, SYNTHETIK 2, and HELLDIVERS™ Dive Harder Edition. We matched them by the tags players give Pizza Death on Steam (Top-Down Shooter, Twin Stick Shooter, Perma Death, Shooter, and Action-Adventure): closest matches first, and among equally close ones the better-known games.

Hotline Miami
Shared: Action · Top-Down · Pixel Graphics

Insect Swarm
Shared: Top-Down Shooter · Shooter · Twin Stick Shooter

Hotline Miami 2: Wrong Number
Shared: Action · Pixel Graphics · Top-Down Shooter

SYNTHETIK 2
Shared: Top-Down Shooter · Twin Stick Shooter · Shooter

HELLDIVERS™ Dive Harder Edition
Shared: Top-Down Shooter · Twin Stick Shooter · Action

Halo: Spartan Assault
Shared: Top-Down Shooter · Twin Stick Shooter · Action

SYNTHETIK: Legion Rising
Shared: Top-Down Shooter · Twin Stick Shooter · Action

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

Escape From Duckov
Shared: Top-Down Shooter · Shooter · Action

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

The Ascent
Shared: Top-Down Shooter · Shooter · Action

Nuclear Throne
Shared: Top-Down Shooter · Action · Pixel Graphics

12 is Better Than 6
Shared: Top-Down Shooter · Shooter · Action

RUINER
Shared: Top-Down Shooter · Twin Stick Shooter · Action

The Hong Kong Massacre
Shared: Top-Down Shooter · Twin Stick Shooter · Action

Broforce
Shared: Action · 2D · Shooter

Cleared Hot
Shared: Top-Down Shooter · Twin Stick Shooter · Action

From Space
Shared: Top-Down Shooter · Twin Stick Shooter · Action

Cyberhunt
Shared: Twin Stick Shooter · Action · 2D

Crimsonland
Shared: Shooter · Top-Down Shooter · Action

Snake Force
Shared: Top-Down Shooter · Shooter · Action

D'LIRIUM
Shared: Top-Down Shooter · Action-Adventure · 2D

Mina the Hollower
Shared: Action-Adventure · Top-Down · 2D

Brigador: Up-Armored Edition
Shared: Twin Stick Shooter · Top-Down Shooter · Action