Games like Pizza Delivery Survivors
Games like Pizza Delivery Survivors include Vampire Survivors, Enter the Gungeon, Halls of Torment, Megabonk, and Death Must Die. We matched them by the tags players give Pizza Delivery Survivors on Steam (Action Roguelike, Bullet Hell, Zombies, Collectathon, and Pixel Graphics): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

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

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

Megabonk
Shared: Action Roguelike · Bullet Hell · Roguelite

Death Must Die
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

Nuclear Throne
Shared: Action Roguelike · Pixel Graphics · Bullet Hell

Dead Cells
Shared: Action Roguelike · Pixel Graphics · Roguelike

BALL x PIT
Shared: Bullet Hell · Action Roguelike · Roguelite

Necrosmith
Shared: Action Roguelike · Zombies · Bullet Hell

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

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

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

Dungreed
Shared: Action Roguelike · Pixel Graphics · Roguelite

Hero Siege
Shared: Action Roguelike · Pixel Graphics · Roguelike

UnderMine
Shared: Action Roguelike · Pixel Graphics · Roguelite

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

Noobs Want to Live
Shared: Bullet Hell · Action Roguelike · Pixel Graphics

I Am Legion: Stand Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Star of Providence
Shared: Bullet Hell · Action Roguelike · Roguelite

Yet Another Zombie Survivors
Shared: Action Roguelike · Zombies · Roguelite

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

FatalZone
Shared: Action Roguelike · Bullet Hell · Zombies

Death Road to Canada
Shared: Action Roguelike · Zombies · Pixel Graphics