Games like Radiant Silvergun
Games like Radiant Silvergun include Bit Blaster XL, Sky Force Reloaded, BIRDCAGE, Ikaruga, and DoDonPachi Resurrection. We matched them by the tags players give Radiant Silvergun on Steam (Shoot 'Em Up, Bullet Hell, Top-Down Shooter, Difficult, and Shooter): closest matches first, and among equally close ones the better-known games.

Bit Blaster XL
Shared: Shoot 'Em Up · Bullet Hell · Difficult

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

BIRDCAGE
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Ikaruga
Shared: Shoot 'Em Up · Bullet Hell · Arcade

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

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

Assault Android Cactus+
Shared: Bullet Hell · Shoot 'Em Up · Difficult

BALL x PIT
Shared: Bullet Hell · Shoot 'Em Up · Arcade

Nova Drift
Shared: Shoot 'Em Up · Bullet Hell · Arcade

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

Phoenix Force
Shared: Bullet Hell · Difficult · Shoot 'Em Up

Furi
Shared: Bullet Hell · Shoot 'Em Up · Difficult

Mushihimesama
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Nex Machina
Shared: Bullet Hell · Shoot 'Em Up · Arcade

ZeroRanger
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Planes, Bullets and Vodka
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Crimzon Clover World EXplosion
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

Touhou Tenkuushou ~ Hidden Star in Four Seasons.
Shared: Bullet Hell · Shoot 'Em Up · Difficult

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

Fallout 4
Shared: Post-apocalyptic · Shooter · RPG

Sektori
Shared: Shoot 'Em Up · Bullet Hell · Arcade

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

Touhou Kinjoukyou ~ Fossilized Wonders.
Shared: Shoot 'Em Up · Bullet Hell · Shooter

Pathogenic
Shared: Bullet Hell · Top-Down Shooter · Difficult