Games like Primos Hermanos
Games like Primos Hermanos include Vampire Survivors, Enter the Gungeon, Megabonk, Brotato, and BALL x PIT. We matched them by the tags players give Primos Hermanos on Steam (Bullet Hell, Action Roguelike, Roguelite, Pixel Graphics, and Retro): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Bullet Hell · Action Roguelike · Roguelite

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

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

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

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Roguelite

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

The Spell Brigade
Shared: Bullet Hell · Roguelite · Action Roguelike

Streets of Rogue
Shared: Action Roguelike · Roguelite · Pixel Graphics

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

Children of Morta
Shared: Pixel Graphics · Action Roguelike · Roguelike

Wizard of Legend
Shared: Action Roguelike · Pixel Graphics · Roguelike

Death Must Die
Shared: Bullet Hell · Action Roguelike · Roguelite

Hero Siege
Shared: Action Roguelike · Pixel Graphics · Roguelike

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

Boneraiser Minions
Shared: Bullet Hell · Action Roguelike · Roguelite

Gunfire Reborn
Shared: Roguelite · Roguelike · Action Roguelike

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

Heroes of Hammerwatch
Shared: Action Roguelike · Roguelite · Pixel Graphics

Ship of Fools
Shared: Action Roguelike · Roguelite · Local Co-Op

Risk of Rain Returns
Shared: Action Roguelike · Online Co-Op · Local Co-Op

Ember Knights
Shared: Action Roguelike · Roguelite · Pixel Graphics

Crab Champions
Shared: Action Roguelike · Roguelike · Bullet Hell

Sephiria
Shared: Action Roguelike · Roguelite · Roguelike