Games like PIZZA WESTERN ๐
Games like PIZZA WESTERN ๐ include Escape From Duckov, BALL x PIT, Relic Hunters Zero: Remix, 12 is Better Than 6, and POSTAL: Brain Damaged. We matched them by the tags players give PIZZA WESTERN ๐ on Steam (Looter Shooter, Boomer Shooter, Bullet Hell, Shoot 'Em Up, and Top-Down Shooter): closest matches first, and among equally close ones the better-known games.

Escape From Duckov
Shared: Looter Shooter ยท Top-Down Shooter ยท Action

BALL x PIT
Shared: Bullet Hell ยท Action ยท Shoot 'Em Up

Relic Hunters Zero: Remix
Shared: Looter Shooter ยท Top-Down Shooter ยท Action

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

POSTAL: Brain Damaged
Shared: Boomer Shooter ยท Shooter ยท Action

Sky Force Reloaded
Shared: Shoot 'Em Up ยท Bullet Hell ยท Top-Down Shooter

Bit Blaster XL
Shared: Bullet Hell ยท Shoot 'Em Up ยท Shooter

Revolution Ace
Shared: Shoot 'Em Up ยท Bullet Hell ยท Action

Planes, Bullets and Vodka
Shared: Shoot 'Em Up ยท Bullet Hell ยท Action

DoDonPachi Resurrection
Shared: Bullet Hell ยท Shoot 'Em Up ยท Top-Down Shooter

Nova Drift
Shared: Bullet Hell ยท Shoot 'Em Up ยท Shooter

Chippy
Shared: Bullet Hell ยท Shoot 'Em Up ยท Top-Down Shooter

Bot Vice
Shared: Bullet Hell ยท Top-Down Shooter ยท Shoot 'Em Up

Touhou Koumakyou: New Classic - the Embodiment of Scarlet Devil
Shared: Bullet Hell ยท Shoot 'Em Up ยท Action

20 Minutes Till Dawn
Shared: Bullet Hell ยท Shoot 'Em Up ยท Top-Down Shooter

LUFTRAUSERS
Shared: Bullet Hell ยท Shoot 'Em Up ยท Action

Borderlands 2
Shared: Looter Shooter ยท Shooter ยท Action

Star of Providence
Shared: Bullet Hell ยท Shoot 'Em Up ยท Action

Enter the Gungeon
Shared: Bullet Hell ยท 2D ยท Indie

Minishoot' Adventures
Shared: Bullet Hell ยท Top-Down ยท 2D

ZeroRanger
Shared: Shoot 'Em Up ยท Bullet Hell ยท Action

Cyberhunt
Shared: Shoot 'Em Up ยท Action ยท 2D

BLUE REVOLVER
Shared: Bullet Hell ยท Shoot 'Em Up ยท Action

Crimzon Clover World EXplosion
Shared: Bullet Hell ยท Shoot 'Em Up ยท Action