Games like Sewer Crawler
Games like Sewer Crawler include Darkest Dungeon®, Noita, The Binding of Isaac: Rebirth, FTL: Faster Than Light, and Dungeon of the ENDLESS™. We matched them by the tags players give Sewer Crawler on Steam (Auto Battler, Roguelike, Dungeon Crawler, 3D Platformer, and Spectacle fighter): closest matches first, and among equally close ones the better-known games.

Darkest Dungeon®
Shared: Dungeon Crawler · Roguelike · Difficult

Noita
Shared: Roguelike · Dungeon Crawler · Difficult

The Binding of Isaac: Rebirth
Shared: Roguelike · Dungeon Crawler · Difficult

FTL: Faster Than Light
Shared: Roguelike · Perma Death · Strategy

Dungeon of the ENDLESS™
Shared: Roguelike · Dungeon Crawler · Strategy

Only Climb: Better Together
Shared: 3D Platformer · Roguelike · Difficult

Enter the Gungeon
Shared: Roguelike · Dungeon Crawler · Difficult

9 Kings
Shared: Auto Battler · Roguelike · Strategy

Crown Trick
Shared: Roguelike · Dungeon Crawler · Perma Death

DR LIVESEY ROM AND DEATH EDITION
Shared: Roguelike · Spectacle fighter · Dungeon Crawler

He is Coming
Shared: Roguelike · Auto Battler · Dungeon Crawler

Path of Achra
Shared: Roguelike · Dungeon Crawler · Perma Death

Spelunky
Shared: Roguelike · Platformer · Difficult

Tales of Maj'Eyal
Shared: Roguelike · Dungeon Crawler · Perma Death

Risk of Rain (2013)
Shared: Roguelike · Platformer · Perma Death

The Binding of Isaac
Shared: Roguelike · Difficult · Indie

Dwarves: Glory, Death and Loot
Shared: Auto Battler · Roguelike · Character Customization

Slay the Spire 2
Shared: Roguelike · Strategy · Difficult

Slay the Spire
Shared: Roguelike · Dungeon Crawler · Strategy

Stoneshard
Shared: Roguelike · Dungeon Crawler · Strategy

Super Fantasy Kingdom
Shared: Roguelike · Auto Battler · Strategy

Vivid Knight
Shared: Roguelike · Dungeon Crawler · Difficult

Aethermancer
Shared: Roguelike · Dungeon Crawler · Difficult

Elin
Shared: Roguelike · Character Customization · Dungeon Crawler