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

Megabonk
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

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

Brotato
Shared: Bullet Hell · Action Roguelike · Bullet Heaven

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

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Indie

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Top-Down Shooter

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

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

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

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

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

Picayune Dreams
Shared: Bullet Hell · Action Roguelike · Bullet Heaven

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

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Indie

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

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

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

Pathogenic
Shared: Bullet Hell · Top-Down Shooter · Action Roguelike

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Bullet Heaven

BALL x PIT
Shared: Bullet Hell · Action Roguelike · Top-Down Shooter

Survivors of the Dawn
Shared: Action Roguelike · Bullet Hell · Bullet Heaven

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

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

Nomad Survival
Shared: Action Roguelike · Bullet Hell · Bullet Heaven