Games like The Last Survivors
Games like The Last Survivors include Vampire Survivors, Megabonk, Death Must Die, Hades, and Soulstone Survivors. We matched them by the tags players give The Last Survivors on Steam (Action, Early Access, Action Roguelike, Bullet Hell, and Casual): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Megabonk
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Hades
Shared: Action Roguelike · Action · Roguelite

Soulstone Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Brotato
Shared: Action Roguelike · Bullet Hell · Roguelite

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

Goobies
Shared: Action Roguelike · Bullet Hell · Action

Yet Another Zombie Survivors
Shared: Action Roguelike · Roguelite · Zombies

Nuclear Throne
Shared: Action Roguelike · Action · Bullet Hell

FatalZone
Shared: Action Roguelike · Bullet Hell · Action

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

Apocalypse Party
Shared: Action Roguelike · Casual · Bullet Hell

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Beautiful Mystic Survivors
Shared: Action Roguelike · Bullet Hell · Action

Arms of God
Shared: Action Roguelike · Bullet Hell · Action

The Spell Brigade
Shared: Bullet Hell · Action Roguelike · Roguelite

Deadly Days
Shared: Action · Action Roguelike · Roguelite

Noobs Want to Live
Shared: Action · Bullet Hell · Action Roguelike

Crab Champions
Shared: Action Roguelike · Bullet Hell · 3D

BALL x PIT
Shared: Action · Bullet Hell · Roguelite

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Bullet Hell · Action