Games like Puzzle Pleasant
Games like Puzzle Pleasant include Vampire Survivors, Muse Dash, Touhou Hero of Ice Fairy, Rabi-Ribi, and Cat Goes Fishing. We matched them by the tags players give Puzzle Pleasant on Steam (Casual, Animation & Modeling, Bullet Hell, Roguelite, and Wargame): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Bullet Hell · Roguelite · 2D

Muse Dash
Shared: Casual · Anime · Cute

Touhou Hero of Ice Fairy
Shared: Bullet Hell · Roguelite · Anime

Rabi-Ribi
Shared: Bullet Hell · Anime · Cute

Cat Goes Fishing
Shared: Casual · 2D · Cute

Rocket Rats
Shared: Casual · Bullet Hell · Roguelite

Florence
Shared: Casual · Cute · Indie

Is This Seat Taken?
Shared: Casual · Cute · Colorful

Snezhinka:Sentinel Girls2
Shared: Anime · Bullet Hell · Roguelite

Montaro
Shared: Casual · Anime · Cute

your wife
Shared: Casual · Cute · 2D

Touhou Endless Dream
Shared: Casual · Roguelite · Anime

Death Must Die
Shared: Bullet Hell · Roguelite · 2D

Boneraiser Minions
Shared: Bullet Hell · Roguelite · 2D

TEVI
Shared: Bullet Hell · Anime · 2D

Slime Rancher 2
Shared: Cute · Casual · Colorful

Rabbit and Steel
Shared: Bullet Hell · Anime · Cute

DJMAX RESPECT V
Shared: Casual · Anime · 2D

Your Mother
Shared: Anime · 2D · Casual

Fox Hime Zero
Shared: Casual · Anime · Cute

Plants vs. Zombies GOTY Edition
Shared: Casual · 2D · Family Friendly

A Little to the Left
Shared: Casual · Cute · 2D

Pikuniku
Shared: Casual · Cute · 2D

Asgard's Fall — Viking Survivors
Shared: Bullet Hell · Casual · Roguelite