Games like Spiral to Despair

Games like Spiral to Despair include Path of Exile, Grim Dawn, Path of Exile 2, Baldur's Gate 3, and Wolcen: Lords of Mayhem. We matched them by the tags players give Spiral to Despair on Steam (RPG, Card Game, Loot, Combat, and Character Customization): closest matches first, and among equally close ones the better-known games.