Games like Sausage vs. Vegetable
Games like Sausage vs. Vegetable include Vampire Survivors, Hades, Death Must Die, Halls of Torment, and Tiny Rogues. We matched them by the tags players give Sausage vs. Vegetable on Steam (Action Roguelike, Bullet Hell, Hack and Slash, Top-Down Shooter, and Roguelite): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Hades
Shared: Action Roguelike · Hack and Slash · Roguelite

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

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

Tiny Rogues
Shared: Action Roguelike · Bullet Hell · Top-Down Shooter

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

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Difficult

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Megabonk
Shared: Action Roguelike · Bullet Hell · Roguelite

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · Difficult

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

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

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

Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite

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

暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · Action-Adventure

Realm of the Mad God Exalt
Shared: Bullet Hell · Action Roguelike · Roguelike

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

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

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

Slime 3K: Rise Against Despot
Shared: Action Roguelike · Bullet Hell · Roguelite

The Binding of Isaac
Shared: Action Roguelike · Difficult · Roguelike

Asgard's Fall — Viking Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite