Games like The Help Desk
Games like The Help Desk include The Binding of Isaac: Rebirth, The Binding of Isaac, Vampire Survivors, Enter the Gungeon, and Spelunky. We matched them by the tags players give The Help Desk on Steam (Action Roguelike, Time Management, Difficult, Roguelike, and Perma Death): closest matches first, and among equally close ones the better-known games.

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Roguelike · Difficult

The Binding of Isaac
Shared: Action Roguelike · Roguelike · Difficult

Vampire Survivors
Shared: Action Roguelike · Roguelike · 2D

Enter the Gungeon
Shared: Action Roguelike · Roguelike · Difficult

Spelunky
Shared: Action Roguelike · Roguelike · Difficult

Megabonk
Shared: Action Roguelike · Roguelike · Survival

Noita
Shared: Roguelike · Difficult · Action Roguelike

Risk of Rain (2013)
Shared: Action Roguelike · Roguelike · Difficult

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

Nuclear Throne
Shared: Action Roguelike · Roguelike · Difficult

Hades
Shared: Action Roguelike · Roguelike · Action

Realm of the Mad God Exalt
Shared: Roguelike · Action Roguelike · Perma Death

Brotato
Shared: Action Roguelike · Roguelike · Survival

BALL x PIT
Shared: Action Roguelike · Roguelike · Arcade

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

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

Dungreed
Shared: Action Roguelike · Roguelike · Difficult

Ravenswatch
Shared: Action Roguelike · Roguelike · Difficult

Rogue Legacy
Shared: Action Roguelike · Roguelike · 2D

Windowkill
Shared: Action Roguelike · Arcade · Action

Halls of Torment
Shared: Action Roguelike · Roguelike · Arcade

Dead Cells
Shared: Action Roguelike · Roguelike · 2D

Dead Estate
Shared: Action Roguelike · Roguelike · Difficult

Yet Another Zombie Survivors
Shared: Action Roguelike · Arcade · Roguelike