Games like Planet Blood
Games like Planet Blood include BALL x PIT, Nuclear Throne, Vampire Survivors, Voidigo, and Enter the Gungeon. We matched them by the tags players give Planet Blood on Steam (Top-Down Shooter, Twin Stick Shooter, Pixel Graphics, Shoot 'Em Up, and Action): closest matches first, and among equally close ones the better-known games.

BALL x PIT
Shared: Action · Top-Down Shooter · Roguelite

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

Vampire Survivors
Shared: Pixel Graphics · Action Roguelike · Roguelite

Voidigo
Shared: Twin Stick Shooter · Action Roguelike · Top-Down Shooter

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

SYNTHETIK: Legion Rising
Shared: Top-Down Shooter · Action · Roguelite

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

Blazing Beaks
Shared: Pixel Graphics · Top-Down Shooter · Action Roguelike

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

Halls of Torment
Shared: Pixel Graphics · Action Roguelike · Roguelite

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

Star of Providence
Shared: Shoot 'Em Up · Pixel Graphics · Roguelite

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

Nova Drift
Shared: Shoot 'Em Up · Roguelite · Action Roguelike

20 Minutes Till Dawn
Shared: Top-Down Shooter · Action Roguelike · Shoot 'Em Up

Dead Cells
Shared: Pixel Graphics · Action Roguelike · Roguelike

Megabonk
Shared: Action Roguelike · Roguelite · Roguelike

SNKRX
Shared: Top-Down Shooter · Action Roguelike · Shoot 'Em Up

Dungreed
Shared: Pixel Graphics · Action Roguelike · Action

Rocket Rats
Shared: Pixel Graphics · Action Roguelike · Action

Risk of Rain 2
Shared: Action Roguelike · Action · Roguelite

Atomicrops
Shared: Action · Pixel Graphics · Roguelike

Turnip Boy Robs a Bank
Shared: Top-Down Shooter · Shoot 'Em Up · Twin Stick Shooter

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