Games like The Last Man Survivor
Games like The Last Man Survivor include Halls of Torment, Vampire Survivors, Hades, Death Must Die, and Dead Cells. We matched them by the tags players give The Last Man Survivor on Steam (Action Roguelike, Dark Fantasy, Hand-drawn, 2D, and Survival Horror): closest matches first, and among equally close ones the better-known games.

Halls of Torment
Shared: Action Roguelike · Dark Fantasy · Action

Vampire Survivors
Shared: Action Roguelike · 2D · Action

Hades
Shared: Action Roguelike · Action · Singleplayer

Death Must Die
Shared: Action Roguelike · 2D · Action

Dead Cells
Shared: Action Roguelike · 2D · Dark Fantasy

The Binding of Isaac: Rebirth
Shared: Action Roguelike · 2D · Roguelike

Hades II
Shared: Action Roguelike · Action · Roguelike

Curse of the Dead Gods
Shared: Action Roguelike · Dark Fantasy · Isometric

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

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

33 Immortals
Shared: Action Roguelike · 2D · Hand-drawn

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Action · 2D

Resident Evil 4
Shared: Survival Horror · Action · Singleplayer

Seraph's Last Stand
Shared: Action Roguelike · 2D · Dark Fantasy

Lies of P
Shared: Dark Fantasy · Action · Singleplayer

ENDER LILIES: Quietus of the Knights
Shared: Dark Fantasy · 2D · Singleplayer

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

BlazBlue Entropy Effect
Shared: Action Roguelike · 2D · Action

Mortal Shell II
Shared: Dark Fantasy · Action · Singleplayer

Noobs Are Coming
Shared: Action Roguelike · Dark Fantasy · Arena Shooter

Hell Clock
Shared: Dark Fantasy · Action · Action Roguelike

Grim Dawn
Shared: Dark Fantasy · Isometric · Action RPG

Rogue Legacy
Shared: Action Roguelike · Action · 2D

Spirit Hunters: Infinite Horde
Shared: Action Roguelike · Dark Fantasy · Action