Games like Tower of Dreams
Games like Tower of Dreams include Vampire Survivors, Dead Cells, Caveblazers, Skul: The Hero Slayer, and 30XX. We matched them by the tags players give Tower of Dreams on Steam (Action Roguelike, 2D Platformer, Roguelite, Pixel Graphics, and Fantasy): closest matches first, and among equally close ones the better-known games.

Vampire Survivors
Shared: Action Roguelike · Roguelite · Pixel Graphics

Dead Cells
Shared: Action Roguelike · Pixel Graphics · Roguelite

Caveblazers
Shared: Action Roguelike · Roguelite · Pixel Graphics

Skul: The Hero Slayer
Shared: Action Roguelike · Pixel Graphics · Roguelite

30XX
Shared: Action Roguelike · 2D Platformer · Roguelite

Rogue Legacy
Shared: Action Roguelike · Platformer · Roguelike

Have a Nice Death
Shared: Action Roguelike · 2D Platformer · Cartoony

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

Dungreed
Shared: Action Roguelike · Pixel Graphics · Roguelite

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

Spiritfall
Shared: Action Roguelike · 2D Platformer · Roguelite

Anomaly Agent
Shared: 2D Platformer · Action Roguelike · Roguelite

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

Streets of Rogue
Shared: Action Roguelike · Roguelite · Pixel Graphics

Pizza Tower
Shared: 2D Platformer · Cartoony · Pixel Graphics

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

Sephiria
Shared: Action Roguelike · Roguelite · Pixel Graphics

UnderMine
Shared: Action Roguelike · Roguelite · Pixel Graphics

20XX
Shared: Action Roguelike · 2D Platformer · Roguelite

Noita
Shared: Pixel Graphics · Roguelike · Action Roguelike

Megabonk
Shared: Action Roguelike · Roguelite · Roguelike

Moonlighter
Shared: Roguelite · Pixel Graphics · Action Roguelike

Wizard of Legend
Shared: Action Roguelike · Pixel Graphics · Roguelite

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