Games like To Hell with Hell
Games like To Hell with Hell include Vampire Survivors, Megabonk, The Binding of Isaac: Rebirth, Skul: The Hero Slayer, and Enter the Gungeon. We matched them by the tags players give To Hell with Hell on Steam (Indie, Action, Action Roguelike, Gore, and Violent): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Indie

Megabonk
Shared: Action Roguelike · Indie · Action

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

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

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · Indie

Nuclear Throne
Shared: Action Roguelike · Indie · Action

Hades
Shared: Action Roguelike · Indie · Action

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

Hades II
Shared: Action · Action Roguelike · Roguelike

Hotline Miami
Shared: Action · Indie · Violent

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

BALL x PIT
Shared: Action · Action Roguelike · Bullet Hell

Dungreed
Shared: Action Roguelike · Action · Indie

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

Streets of Rogue
Shared: Action Roguelike · Action · Indie

Atomicrops
Shared: Action · Action Roguelike · Bullet Hell

Hotline Miami 2: Wrong Number
Shared: Gore · Action · Violent

CARRION
Shared: Gore · Action · Indie

ScourgeBringer
Shared: Indie · Action · Action Roguelike

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

Paint the Town Red
Shared: Action · Gore · Violent

Rogue Legacy
Shared: Indie · Action Roguelike · Action

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

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