Games like Playground Mayhem
Games like Playground Mayhem include Bloons TD 6, Orcs Must Die! 3, Bloons TD 5, Orcs Must Die! 2, and Legion TD 2 - Multiplayer Tower Defense. We matched them by the tags players give Playground Mayhem on Steam (Strategy, Tower Defense, PvE, Action, and Relaxing): closest matches first, and among equally close ones the better-known games.

Bloons TD 6
Shared: Strategy · Tower Defense · Co-op

Orcs Must Die! 3
Shared: Tower Defense · Strategy · Co-op

Bloons TD 5
Shared: Strategy · Tower Defense · Co-op

Orcs Must Die! 2
Shared: Tower Defense · Co-op · Strategy

Legion TD 2 - Multiplayer Tower Defense
Shared: Tower Defense · Strategy · Co-op

Thronefall
Shared: Strategy · Tower Defense · Action

Plants vs. Zombies GOTY Edition
Shared: Tower Defense · Strategy · Casual

Sanctum 2
Shared: Tower Defense · Strategy · Co-op

Mindustry
Shared: Tower Defense · Strategy · Base Building

Orcs Must Die! Deathtrap
Shared: Tower Defense · Co-op · Strategy

Dungeon Defenders
Shared: Tower Defense · Strategy · Co-op

HELLDIVERS™ 2
Shared: PvE · Co-op · Action

Warhammer 40,000: Space Marine 2
Shared: Co-op · Action · PvE

Ultimate Zombie Defense
Shared: Action · Tower Defense · Co-op

The Riftbreaker
Shared: Tower Defense · Base Building · Co-op

Plants vs. Zombies: Battle for Neighborville™
Shared: Tower Defense · PvE · Casual

Age of Darkness: Final Stand
Shared: Tower Defense · Strategy · PvE

Starship Troopers: Extermination
Shared: Action · Co-op · PvE

X-Morph: Defense
Shared: Strategy · Tower Defense · Action

How to Fish
Shared: Co-op · Action · PvE

Warhammer 40,000: Dawn of War - Definitive Edition
Shared: Strategy · Co-op · Base Building

PAYDAY 2
Shared: Co-op · Action · PvE

ShellShock Live
Shared: Strategy · Action · Casual

Left 4 Dead 2
Shared: Co-op · Action · Zombies