Games like The Last Strand
Games like The Last Strand include The Binding of Isaac: Rebirth, Enter the Gungeon, The Binding of Isaac, Dead Estate, and Hades. We matched them by the tags players give The Last Strand on Steam (Action Roguelike, Twin Stick Shooter, Replay Value, Pirates, and Dungeon Crawler): closest matches first, and among equally close ones the better-known games.

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Replay Value · Roguelike

Enter the Gungeon
Shared: Action Roguelike · Roguelike · Dungeon Crawler

The Binding of Isaac
Shared: Action Roguelike · Replay Value · Roguelike

Dead Estate
Shared: Action Roguelike · Twin Stick Shooter · Roguelike

Hades
Shared: Action Roguelike · Roguelike · Action

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelike

Tiny Rogues
Shared: Action Roguelike · Replay Value · Bullet Hell

Nuclear Throne
Shared: Action Roguelike · Roguelike · Action

Noita
Shared: Roguelike · Dungeon Crawler · Action Roguelike

Dead Cells
Shared: Action Roguelike · Roguelike · Replay Value

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

Star of Providence
Shared: Action Roguelike · Bullet Hell · Action

Dungreed
Shared: Action Roguelike · Roguelike · Dungeon Crawler

Spelunky
Shared: Action Roguelike · Roguelike · Replay Value

Megabonk
Shared: Action Roguelike · Roguelike · Bullet Hell

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

Wizard of Legend
Shared: Action Roguelike · Dungeon Crawler · Roguelike

UnderMine
Shared: Action Roguelike · Dungeon Crawler · Action

Brotato
Shared: Action Roguelike · Roguelike · Bullet Hell

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

Neon Abyss
Shared: Roguelike · Procedural Generation · Replay Value

Hades II
Shared: Action Roguelike · Roguelike · Action

BlazBlue Entropy Effect
Shared: Action Roguelike · Replay Value · Action

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