Games like Top Gnome
Games like Top Gnome include SNKRX, Chippy, Bit Blaster XL, 12 is Better Than 6, and Sky Force Reloaded. We matched them by the tags players give Top Gnome on Steam (Arena Shooter, Top-Down Shooter, Difficult, Physics, and 2D): closest matches first, and among equally close ones the better-known games.

SNKRX
Shared: Arena Shooter · Top-Down Shooter · Shoot 'Em Up

Chippy
Shared: Arena Shooter · Top-Down Shooter · Difficult

Bit Blaster XL
Shared: Difficult · 2D · Shooter

12 is Better Than 6
Shared: Top-Down Shooter · Action · Shooter

Sky Force Reloaded
Shared: Top-Down Shooter · Shoot 'Em Up · Action

Hotline Miami 2: Wrong Number
Shared: Difficult · Action · Top-Down

Cuphead
Shared: Difficult · 2D · Action

BALL x PIT
Shared: Action · Top-Down Shooter · Arcade

Noita
Shared: Physics · Difficult · 2D

Hotline Miami
Shared: Action · Top-Down · Difficult

Kill The Crows
Shared: Top-Down Shooter · Action · Arena Shooter

Planes, Bullets and Vodka
Shared: Action · 2D · Shoot 'Em Up

Hollow Knight
Shared: Difficult · 2D · Indie

Orbt XL
Shared: Difficult · 2D · Action

Nova Drift
Shared: Arena Shooter · Shoot 'Em Up · Shooter

Intrusion 2
Shared: Action · Physics · 2D

SYNTHETIK: Legion Rising
Shared: Top-Down Shooter · Action · Difficult

Geometry Dash
Shared: Difficult · 2D · Singleplayer

Hollow Knight: Silksong
Shared: Difficult · 2D · Indie

Super Hexagon
Shared: Difficult · Action · Arcade

A Dance of Fire and Ice
Shared: Difficult · 2D · Action

Nuclear Throne
Shared: Difficult · Top-Down Shooter · Action

The Binding of Isaac
Shared: Difficult · Action · Top-Down

Titan Attacks!
Shared: Arena Shooter · Top-Down Shooter · Difficult