Games like Pizza Hero
Games like Pizza Hero include Vampire Survivors, Megabonk, Skul: The Hero Slayer, Brotato, and Death Must Die. We matched them by the tags players give Pizza Hero on Steam (Action, Casual, Roguelike, Action Roguelike, and Arena Shooter): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Pixel Graphics · Roguelike

Megabonk
Shared: Roguelike · Action Roguelike · Action

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

Brotato
Shared: Roguelike · Action Roguelike · Arena Shooter

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

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

Rogue Legacy
Shared: Roguelike · Action · Action Roguelike

Halls of Torment
Shared: Action Roguelike · Roguelike · Action

Dungreed
Shared: Action Roguelike · Roguelike · Action

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

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

Hades
Shared: Action Roguelike · Action · Roguelike

Nuclear Throne
Shared: Roguelike · Action Roguelike · Action

Boneraiser Minions
Shared: Action Roguelike · Pixel Graphics · 2D

Dead Cells
Shared: Roguelike · Action Roguelike · Pixel Graphics

Noita
Shared: Roguelike · Pixel Graphics · 2D

Sephiria
Shared: Action Roguelike · Roguelike · Action

Hero Siege
Shared: Action Roguelike · Pixel Graphics · Roguelike

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

Realm of the Mad God Exalt
Shared: Roguelike · Pixel Graphics · Action Roguelike

20 Minutes Till Dawn
Shared: Action Roguelike · Pixel Graphics · Survival

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

Desktop Survivors 98
Shared: Action · Action Roguelike · Casual

BALL x PIT
Shared: Action · Roguelike · Action Roguelike