Games like The Last Sideran
Games like The Last Sideran include Nova Drift, Geometry Wars: Retro Evolved, Chippy, Kill The Crows, and Cyberhunt. We matched them by the tags players give The Last Sideran on Steam (Shoot 'Em Up, Twin Stick Shooter, Score Attack, Arcade, and Arena Shooter): closest matches first, and among equally close ones the better-known games.

Nova Drift
Shared: Shoot 'Em Up · Arcade · Arena Shooter

Geometry Wars: Retro Evolved
Shared: Twin Stick Shooter · Arcade · Shoot 'Em Up

Chippy
Shared: Twin Stick Shooter · Shoot 'Em Up · Arena Shooter

Kill The Crows
Shared: Arcade · Arena Shooter · Female Protagonist

Cyberhunt
Shared: Shoot 'Em Up · Twin Stick Shooter · Arcade

DRAINUS
Shared: Shoot 'Em Up · 2D · Action

Planes, Bullets and Vodka
Shared: Shoot 'Em Up · Arcade · 2D

Bit Blaster XL
Shared: Shoot 'Em Up · Arcade · 2D

ZeroRanger
Shared: Shoot 'Em Up · Arcade · 2D

Waves
Shared: Shoot 'Em Up · Twin Stick Shooter · Arcade

LUFTRAUSERS
Shared: Arcade · Shoot 'Em Up · 2D

Sektori
Shared: Shoot 'Em Up · Twin Stick Shooter · Arcade

Beat Hazard
Shared: Twin Stick Shooter · Shoot 'Em Up · 2D

Touhou Kinjoukyou ~ Fossilized Wonders.
Shared: Shoot 'Em Up · Arcade · Shooter

Ikaruga
Shared: Shoot 'Em Up · Arcade · Sci-fi

Ultratron
Shared: Arcade · Twin Stick Shooter · Shoot 'Em Up

Greedland
Shared: Shoot 'Em Up · Twin Stick Shooter · Score Attack

METAL SLUG
Shared: Arcade · Shoot 'Em Up · 2D

Star Saviors
Shared: Shoot 'Em Up · Arcade · 2D

Assault Android Cactus+
Shared: Twin Stick Shooter · Shoot 'Em Up · Arcade

ARCADE GAME SERIES: GALAGA
Shared: Shoot 'Em Up · Arcade · 2D

Time Wasters
Shared: Twin Stick Shooter · Shoot 'Em Up · Arena Shooter

RIVE
Shared: Shoot 'Em Up · Twin Stick Shooter · Arcade

Mushihimesama
Shared: Shoot 'Em Up · Arcade · 2D