Games like Really Trash Game
Games like Really Trash Game include Hotline Miami, Hotline Miami 2: Wrong Number, DOOM Eternal, My Friend Pedro, and RUINER. We matched them by the tags players give Really Trash Game on Steam (Action, Indie, Top-Down Shooter, Violent, and Gore): closest matches first, and among equally close ones the better-known games.

Hotline Miami
Shared: Action · Indie · Violent

Hotline Miami 2: Wrong Number
Shared: Action · Gore · Violent

DOOM Eternal
Shared: Action · Gore · Violent

My Friend Pedro
Shared: Action · Indie · Gore

RUINER
Shared: Action · Top-Down Shooter · Indie

Ape Out
Shared: Indie · Violent · Action

Suit for Hire
Shared: Action · Gore · Violent

Maximum Action
Shared: Action · Gore · Violent

The Hong Kong Massacre
Shared: Action · Violent · Gore

Chivalry: Medieval Warfare
Shared: Action · Gore · Violent

CARRION
Shared: Action · Gore · Indie

Paint the Town Red
Shared: Action · Violent · Gore

One Finger Death Punch 2
Shared: Action · Indie · Fast-Paced

12 is Better Than 6
Shared: Action · Top-Down Shooter · Indie

Serious Sam 4
Shared: Action · Gore · Violent

The Ascent
Shared: Top-Down Shooter · Action · Indie

Katana ZERO
Shared: Action · Indie · Violent

Iron Snout
Shared: Action · Gore · Indie

Trepang2
Shared: Action · Gore · Violent

GORN
Shared: Action · Gore · Violent

Serious Sam Fusion 2017 (beta)
Shared: Action · Indie · Gore

ULTRAKILL
Shared: Gore · Fast-Paced · Indie

DOOM
Shared: Action · Gore · Fast-Paced

Nation Red
Shared: Action · Indie · Top-Down Shooter