Games like They Don't Sleep
Games like They Don't Sleep include Vampire Survivors, Skul: The Hero Slayer, Dead Cells, Megabonk, and Death Road to Canada. We matched them by the tags players give They Don't Sleep on Steam (Action Roguelike, Pixel Graphics, Life Sim, Survival, and 2D): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Pixel Graphics · Roguelite

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

Dead Cells
Shared: Action Roguelike · Pixel Graphics · 2D

Megabonk
Shared: Action Roguelike · Roguelite · Survival

Death Road to Canada
Shared: Pixel Graphics · Action Roguelike · Zombies

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

Halls of Torment
Shared: Action Roguelike · Pixel Graphics · Roguelite

BALL x PIT
Shared: Action Roguelike · Roguelite · Pixel Graphics

20 Minutes Till Dawn
Shared: Action Roguelike · Survival · Roguelite

Dungreed
Shared: Action Roguelike · Pixel Graphics · Roguelite

Everything is Crab: The Animal Evolution Roguelite
Shared: Action Roguelike · Pixel Graphics · Survival

Necrosmith
Shared: Action Roguelike · Zombies · Roguelite

Nuclear Throne
Shared: Action Roguelike · Pixel Graphics · Roguelite

UnderMine
Shared: Action Roguelike · Pixel Graphics · Roguelite

Death Must Die
Shared: Action Roguelike · Pixel Graphics · Roguelite

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

The Last Stand: Aftermath
Shared: Survival · Zombies · Action Roguelike

Enter the Gungeon
Shared: Action Roguelike · Pixel Graphics · 2D

Sephiria
Shared: Action Roguelike · Pixel Graphics · Roguelite

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

Terraria
Shared: Survival · Pixel Graphics · 2D

Stardew Valley
Shared: Pixel Graphics · Life Sim · Simulation

FatalZone
Shared: Action Roguelike · Survival · Zombies

The Final Station
Shared: Pixel Graphics · Survival · 2D