Games like Slime Mayhem
Games like Slime Mayhem include Vampire Survivors, BALL x PIT, Megabonk, Nova Drift, and Halls of Torment. We matched them by the tags players give Slime Mayhem on Steam (Action Roguelike, Bullet Hell, Shoot 'Em Up, Roguelite, and Shooter): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

Nova Drift
Shared: Bullet Hell · Shoot 'Em Up · Action Roguelike

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

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

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

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelike

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

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Star of Providence
Shared: Bullet Hell · Action Roguelike · Roguelite

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelike

Hades
Shared: Action Roguelike · Roguelite · Roguelike

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

Rocket Rats
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Bit Blaster XL
Shared: Bullet Hell · Shoot 'Em Up · Shooter

Dungreed
Shared: Action Roguelike · Roguelite · Roguelike

Rogue Legacy
Shared: Action Roguelike · Roguelike · Roguelite

Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite

Risk of Rain 2
Shared: Action Roguelike · Roguelite · Roguelike

I Am Legion: Stand Survivors
Shared: Action Roguelike · Bullet Hell · Shoot 'Em Up

Seraph's Last Stand
Shared: Action Roguelike · Bullet Hell · 2D