Games like The Last Hand
Games like The Last Hand include Balatro, Slay the Spire, Slay the Spire 2, Inscryption, and Dicey Dungeons. We matched them by the tags players give The Last Hand on Steam (Strategy, Card Game, Casual, Indie, and Card Battler): closest matches first, and among equally close ones the better-known games.

Balatro
Shared: Card Game · Strategy · Deckbuilding

Slay the Spire
Shared: Card Game · Card Battler · Strategy

Slay the Spire 2
Shared: Card Game · Strategy · Deckbuilding

Inscryption
Shared: Card Game · Card Battler · Strategy

Dicey Dungeons
Shared: Card Battler · Strategy · Indie

Dungeons & Degenerate Gamblers
Shared: Strategy · Card Game · Card Battler

Ratropolis
Shared: Strategy · Card Battler · 2D

9 Kings
Shared: Strategy · Card Game · Roguelite

DICEOMANCER
Shared: Strategy · Card Game · Card Battler

Overdungeon
Shared: Strategy · Indie · Casual

Die in the Dungeon
Shared: Strategy · Card Game · Card Battler

Vampire Crawlers: The Turbo Wildcard from Vampire Survivors
Shared: Strategy · Card Battler · Card Game

Griftlands
Shared: Card Battler · Roguelite · Card Game

Stacklands
Shared: Card Game · Strategy · Card Battler

Roguebook
Shared: Card Game · Indie · Strategy

Wildfrost
Shared: Card Game · Card Battler · Roguelite

RACCOIN: Coin Pusher Roguelike
Shared: Strategy · Casual · Deckbuilding

Breachway
Shared: Strategy · Card Game · Card Battler

My Card Is Better Than Your Card!
Shared: Card Game · Strategy · Deckbuilding

Ballionaire
Shared: Casual · Strategy · 2D

Across the Obelisk
Shared: Casual · Card Game · Card Battler

Yao-Guai Hunter
Shared: Card Game · Card Battler · Strategy

Astrea: Six-Sided Oracles
Shared: Card Game · Card Battler · Strategy

Black Jacket
Shared: Card Game · Roguelite · Indie