Games like Survive the Descent
Games like Survive the Descent include Vampire Survivors, Halls of Torment, Death Must Die, Soulstone Survivors, and Hero Siege. We matched them by the tags players give Survive the Descent on Steam (Action Roguelike, Bullet Hell, Roguelite, PvE, and Action RPG): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

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

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

Soulstone Survivors
Shared: Action Roguelike · Roguelite · Bullet Hell

Hero Siege
Shared: Action Roguelike · Action RPG · RPG

Nordic Ashes: Survivors of Ragnarok
Shared: Action Roguelike · Bullet Hell · Roguelite

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

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

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

Hades
Shared: Action Roguelike · Roguelite · Indie

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

UnderMine
Shared: Action Roguelike · Roguelite · RPG

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

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · 2D

Magicraft
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Hades II
Shared: Roguelite · Action Roguelike · Action

Cultivation Story: Reincarnation
Shared: Action Roguelike · Roguelite · Bullet Hell

Heroes of Hammerwatch II
Shared: Action Roguelike · RPG · Action RPG

暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · 2D

Nuclear Throne
Shared: Action Roguelike · Bullet Hell · Roguelite

Noobs Want to Live
Shared: Bullet Hell · Action Roguelike · Roguelite

Skul: The Hero Slayer
Shared: Action Roguelike · Roguelite · 2D

Brotato
Shared: Bullet Hell · Action Roguelike · Roguelite