Games like Sanguo Survivors
Games like Sanguo Survivors include Vampire Survivors, Death Must Die, Megabonk, Hades, and Skul: The Hero Slayer. We matched them by the tags players give Sanguo Survivors on Steam (Action Roguelike, Bullet Heaven, Action, Casual, and Hack and Slash): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Roguelite · 2D

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

Megabonk
Shared: Action Roguelike · Bullet Heaven · Roguelite

Hades
Shared: Action Roguelike · Hack and Slash · Roguelite

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

Halls of Torment
Shared: Action Roguelike · Roguelite · Action

Soulstone Survivors
Shared: Action Roguelike · Bullet Heaven · Roguelite

Boneraiser Minions
Shared: Action Roguelike · Bullet Heaven · Roguelite

Jotunnslayer: Hordes of Hel
Shared: Action Roguelike · Bullet Heaven · Hack and Slash

Dead Cells
Shared: Action Roguelike · Roguelite · 2D

BALL x PIT
Shared: Action · Action Roguelike · Roguelite

Hades II
Shared: Action · Action Roguelike · Hack and Slash

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

Hero Siege
Shared: Action Roguelike · Hack and Slash · Action

Brotato
Shared: Action Roguelike · Bullet Heaven · Roguelite

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

Yet Another Zombie Survivors
Shared: Bullet Heaven · Action Roguelike · Roguelite

UnderMine
Shared: Action Roguelike · Roguelite · Action

Have a Nice Death
Shared: Action Roguelike · Hack and Slash · Action

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

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

Dungreed
Shared: Action Roguelike · Action · Roguelite

20 Minutes Till Dawn
Shared: Action Roguelike · Roguelite · Casual

Shape of Dreams
Shared: Action Roguelike · Hack and Slash · Action