Games like RAM: Random Access Mayhem
Games like RAM: Random Access Mayhem include Vampire Survivors, Nuclear Throne, Enter the Gungeon, Skul: The Hero Slayer, and The Binding of Isaac: Rebirth. We matched them by the tags players give RAM: Random Access Mayhem on Steam (PvE, Action Roguelike, Roguelite, Fast-Paced, and Difficult): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Roguelite · Pixel Graphics

Nuclear Throne
Shared: Action Roguelike · Difficult · Pixel Graphics

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

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

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

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Roguelite · PvE

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

Star of Providence
Shared: Roguelite · Action Roguelike · Pixel Graphics

Dungreed
Shared: Action Roguelike · Roguelite · Pixel Graphics

The Binding of Isaac
Shared: Action Roguelike · Difficult · Top-Down

Roboquest
Shared: Action Roguelike · Roguelite · Fast-Paced

BALL x PIT
Shared: Roguelite · Action Roguelike · Action

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

Hotline Miami 2: Wrong Number
Shared: Fast-Paced · Pixel Graphics · Difficult

Dead Cells
Shared: Action Roguelike · Roguelite · 2D

UnderMine
Shared: Action Roguelike · Roguelite · Pixel Graphics

Hades
Shared: Action Roguelike · Roguelite · Action

Hotline Miami
Shared: Pixel Graphics · Action · Fast-Paced

SYNTHETIK: Legion Rising
Shared: Roguelite · Action Roguelike · Difficult

Noita
Shared: Difficult · Pixel Graphics · 2D

Deep Rock Galactic: Rogue Core
Shared: PvE · Roguelite · Action Roguelike

BlazBlue Entropy Effect
Shared: Action Roguelike · 2D · Action

Megabonk
Shared: Action Roguelike · Roguelite · Action

Shape of Dreams
Shared: Action Roguelike · PvE · Roguelite