Games like Sanguine 3
Games like Sanguine 3 include Celeste, Super Meat Boy, Katana ZERO, SANABI, and CARRION. We matched them by the tags players give Sanguine 3 on Steam (Stealth, Action, Platformer, Pixel Graphics, and Dark): closest matches first, and among equally close ones the better-known games.

Celeste
Shared: Pixel Graphics · Precision Platformer · Platformer

Super Meat Boy
Shared: Platformer · Precision Platformer · Pixel Graphics

Katana ZERO
Shared: Action · Pixel Graphics · Platformer

SANABI
Shared: Action · Pixel Graphics · 2D Platformer

CARRION
Shared: Pixel Graphics · Action · Gore

DEADBOLT
Shared: Stealth · Pixel Graphics · Action

Mark of the Ninja: Remastered
Shared: Stealth · Action · Platformer

Blasphemous
Shared: Pixel Graphics · Action · 2D

VVVVVV
Shared: Pixel Graphics · Platformer · Precision Platformer

Pizza Tower
Shared: 2D Platformer · Platformer · Pixel Graphics

Party Hard
Shared: Stealth · Pixel Graphics · Action

Gunpoint
Shared: Stealth · Pixel Graphics · Action

Mark of the Ninja
Shared: Stealth · Platformer · Action

Skul: The Hero Slayer
Shared: Action · Pixel Graphics · Indie

Broforce
Shared: Action · Pixel Graphics · Platformer

Downwell
Shared: Pixel Graphics · Platformer · Precision Platformer

Hotline Miami
Shared: Action · Pixel Graphics · Indie

Gravity Circuit
Shared: Action · Platformer · Pixel Graphics

Jump King
Shared: Pixel Graphics · Platformer · Precision Platformer

The End Is Nigh
Shared: Platformer · Precision Platformer · Action

NINJA GAIDEN: Ragebound
Shared: Action · Platformer · Pixel Graphics

Hotline Miami 2: Wrong Number
Shared: Pixel Graphics · Action · Gore

Valfaris
Shared: Action · Platformer · Pixel Graphics

The Messenger
Shared: Platformer · Pixel Graphics · Action