Games like Sakura Shiren
Games like Sakura Shiren include Deep Rock Galactic: Survivor, Vampire Survivors, BALL x PIT, Megabonk, and Yet Another Zombie Survivors. We matched them by the tags players give Sakura Shiren on Steam (Action Roguelike, Bullet Heaven, Bullet Hell, Top-Down Shooter, and Roguelite): closest matches first, and among equally close ones the better-known games.

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

BALL x PIT
Shared: Bullet Hell · Roguelite · Action Roguelike

Megabonk
Shared: Action Roguelike · Bullet Heaven · Roguelite

Yet Another Zombie Survivors
Shared: Bullet Heaven · Action Roguelike · Top-Down Shooter

Rogue: Genesia
Shared: Bullet Heaven · Action Roguelike · Bullet Hell

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Roguelite

Soulstone Survivors
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

The Spell Brigade
Shared: Bullet Heaven · Bullet Hell · Action Roguelike

Brotato
Shared: Action Roguelike · Bullet Hell · Bullet Heaven

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

Death Must Die
Shared: Action Roguelike · Bullet Hell · Roguelite

Nordic Ashes: Survivors of Ragnarok
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Nova Drift
Shared: Bullet Hell · Action Roguelike · Roguelite

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Cursorblade
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Time Wasters
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Vital Shell
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Arms of God
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelite

Be My Horde
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

R.I.P. - Reincarnation Insurance Program
Shared: Action Roguelike · Bullet Heaven · Bullet Hell