Games like Tower64
Games like Tower64 include Megabonk, Vampire Survivors, 20 Minutes Till Dawn, Halls of Torment, and Monsters are Coming!. We matched them by the tags players give Tower64 on Steam (Tower Defense, Action, Action Roguelike, Roguelite, and Bullet Hell): closest matches first, and among equally close ones the better-known games.

Megabonk
Shared: Action Roguelike · Roguelite · Bullet Hell

Vampire Survivors
Shared: Action Roguelike · Roguelite · Bullet Hell

20 Minutes Till Dawn
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Monsters are Coming!
Shared: Action · Tower Defense · Roguelite

BALL x PIT
Shared: Action · Roguelite · Bullet Hell

Hades
Shared: Action Roguelike · Roguelite · Action

Nuclear Throne
Shared: Action Roguelike · Action · Bullet Hell

Enter the Gungeon
Shared: Action Roguelike · Bullet Hell · Pixel Graphics

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

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

Necrosmith
Shared: Tower Defense · Action Roguelike · Roguelite

UnderMine
Shared: Action Roguelike · Roguelite · Action

Deep Rock Galactic: Survivor
Shared: Action Roguelike · Roguelite · Bullet Hell

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

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

Brotato
Shared: Action Roguelike · Bullet Hell · Survival

Atomicrops
Shared: Action · Bullet Hell · Action Roguelike

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

Magicraft
Shared: Action Roguelike · Roguelite · Bullet Hell

Soulstone Survivors
Shared: Action Roguelike · Roguelite · Bullet Hell

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

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

Dungreed
Shared: Action Roguelike · Action · Roguelite