Games like Therapy Simulator 2023
Games like Therapy Simulator 2023 include Vampire Survivors, Skul: The Hero Slayer, 鬼谷八荒 Tale of Immortal, The Binding of Isaac: Rebirth, and Rogue Legacy. We matched them by the tags players give Therapy Simulator 2023 on Steam (Action Roguelike, Action, Choose Your Own Adventure, Simulation, and Singleplayer): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · 2D · Singleplayer

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

鬼谷八荒 Tale of Immortal
Shared: Simulation · Singleplayer · Choose Your Own Adventure

The Binding of Isaac: Rebirth
Shared: Action Roguelike · Indie · Singleplayer

Rogue Legacy
Shared: Action Roguelike · Action · Singleplayer

Papers, Please
Shared: Simulation · Singleplayer · Indie

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

UnderMine
Shared: Action Roguelike · Action · Singleplayer

Hades
Shared: Action Roguelike · Action · Singleplayer

Dungreed
Shared: Action Roguelike · Action · 2D

Megabonk
Shared: Action Roguelike · Action · Singleplayer

The Escapists
Shared: Singleplayer · Simulation · Action

The Test
Shared: Choose Your Own Adventure · Simulation · Singleplayer

SANABI
Shared: Action · Singleplayer · 2D

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

Shovel Knight: Treasure Trove
Shared: Action · Retro · 2D

Risk of Rain Returns
Shared: Action Roguelike · PvE · 2D

Dead Cells
Shared: Action Roguelike · 2D · Action

People Playground
Shared: Singleplayer · 2D · Simulation

Enter the Gungeon
Shared: Action Roguelike · Indie · Pixel Graphics

Hotline Miami
Shared: Action · Indie · Pixel Graphics

HighFleet
Shared: Singleplayer · Action Roguelike · Indie

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

The Henry Stickmin Collection
Shared: Choose Your Own Adventure · Singleplayer · Choices Matter