Games like Rust Rails
Games like Rust Rails include Noita, The Binding of Isaac: Rebirth, Skul: The Hero Slayer, Vampire Survivors, and Hades. We matched them by the tags players give Rust Rails on Steam (Action, Roguelike, 2D Platformer, Exploration, and Precision Platformer): closest matches first, and among equally close ones the better-known games.

Noita
Shared: Roguelike · Dungeon Crawler · Pixel Graphics

The Binding of Isaac: Rebirth
Shared: Roguelike · Action Roguelike · Dungeon Crawler

Skul: The Hero Slayer
Shared: Action · Roguelike · Action Roguelike

Vampire Survivors
Shared: Action Roguelike · Roguelite · Roguelike

Hades
Shared: Action · Roguelike · Roguelite

Hades II
Shared: Action · Roguelike · Roguelite

Dungreed
Shared: Roguelike · Action · Action Roguelike

Enter the Gungeon
Shared: Roguelike · Action Roguelike · Dungeon Crawler

Wizard of Legend
Shared: Roguelike · Action · Action Roguelike

Dead Cells
Shared: Roguelike · Action Roguelike · Roguelite

BALL x PIT
Shared: Action · Roguelike · Roguelite

Megabonk
Shared: Roguelike · Action Roguelike · Action

Rogue Legacy
Shared: Roguelike · Action · Action Roguelike

Halls of Torment
Shared: Roguelike · Roguelite · Action

Moonlighter
Shared: Roguelike · Dungeon Crawler · Roguelite

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

Downwell
Shared: Precision Platformer · Action · 2D Platformer

UnderMine
Shared: Action · Roguelite · Action Roguelike

Nuclear Throne
Shared: Roguelike · Action · Action Roguelike

SANABI
Shared: Action · 2D Platformer · Pixel Graphics

Heroes of Hammerwatch II
Shared: Action · Roguelike · Dungeon Crawler

Blade Assault
Shared: Action · Roguelike · 2D Platformer

Streets of Rogue
Shared: Roguelike · Action · Roguelite

Children of Morta
Shared: Roguelike · Action · Pixel Graphics

