Games like Truck
Games like Truck include Megabonk, Hades, Vampire Survivors, The Binding of Isaac, and Hades II. We matched them by the tags players give Truck on Steam (Action Roguelike, Roguelite, Action, Casual, and Automobile Sim): closest matches first, and among equally close ones the better-known games.

Megabonk
Shared: Action Roguelike · Roguelite · Roguelike

Hades
Shared: Action Roguelike · Roguelite · Action

Vampire Survivors
Shared: Action Roguelike · Roguelite · Casual

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

Hades II
Shared: Action · Roguelite · Action Roguelike

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

Risk of Rain 2
Shared: Action Roguelike · Roguelite · Action

BALL x PIT
Shared: Roguelite · Action · Action Roguelike

Halls of Torment
Shared: Action Roguelike · Roguelite · Action

Shape of Dreams
Shared: Action Roguelike · Roguelite · Action

Magicraft
Shared: Action Roguelike · Roguelite · Roguelike

Yet Another Zombie Survivors
Shared: Action Roguelike · Roguelite · Roguelike

暖雪 Warm Snow
Shared: Action Roguelike · Roguelite · Roguelike

Sephiria
Shared: Action Roguelike · Roguelite · Roguelike

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

Ravenswatch
Shared: Action Roguelike · Roguelike · Action

Death Must Die
Shared: Action Roguelike · Roguelite · Action

Gunfire Reborn
Shared: Roguelite · Roguelike · Action Roguelike

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

Apocalypse Party
Shared: Action Roguelike · Casual · Roguelite

Nuclear Throne
Shared: Action Roguelike · Roguelike · Action

The Spell Brigade
Shared: Roguelite · Action Roguelike · Roguelike

UnderMine
Shared: Action Roguelike · Roguelite · Action

Dead Cells
Shared: Action Roguelike · Roguelike · Roguelite