Games like Tiamat's Drink
Games like Tiamat's Drink include Vampire Survivors, BALL x PIT, Enter the Gungeon, Cuphead, and Megabonk. We matched them by the tags players give Tiamat's Drink on Steam (Action, Indie, Roguelite, Shoot 'Em Up, and Singleplayer): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Roguelite · Bullet Hell · Indie

BALL x PIT
Shared: Action · Roguelite · Bullet Hell

Enter the Gungeon
Shared: Bullet Hell · Indie · Pixel Graphics

Cuphead
Shared: Indie · Co-op · Local Co-Op

Megabonk
Shared: Roguelite · Indie · Action

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

The Binding of Isaac: Rebirth
Shared: Indie · Pixel Graphics · Singleplayer

ZeroRanger
Shared: Indie · Shoot 'Em Up · Action

LUFTRAUSERS
Shared: Indie · Action · Bullet Hell

Nuclear Throne
Shared: Indie · Action · Roguelite

Broforce
Shared: Action · Indie · Pixel Graphics

Brotato
Shared: Singleplayer · Bullet Hell · Roguelite

Hades
Shared: Roguelite · Indie · Action

Star of Providence
Shared: Roguelite · Indie · Shoot 'Em Up

Halls of Torment
Shared: Roguelite · Bullet Hell · Action

Revolution Ace
Shared: Action · Indie · Shoot 'Em Up

Dungreed
Shared: Action · Roguelite · Indie

Exit the Gungeon
Shared: Indie · Action · Bullet Hell

Risk of Rain (2013)
Shared: Indie · Action · Pixel Graphics

Streets of Rogue
Shared: Roguelite · Action · Indie

Touhou Koumakyou: New Classic - the Embodiment of Scarlet Devil
Shared: Shoot 'Em Up · Action · Bullet Hell

Risk of Rain 2
Shared: Action · Roguelite · Co-op

Nova Drift
Shared: Shoot 'Em Up · Roguelite · Bullet Hell

Just Shapes & Beats
Shared: Bullet Hell · Indie · Action