Games like Truxton Extreme
Games like Truxton Extreme include Sky Force Reloaded, DoDonPachi Resurrection, BALL x PIT, Nova Drift, and Deep Rock Galactic: Survivor. We matched them by the tags players give Truxton Extreme on Steam (Shoot 'Em Up, Bullet Hell, Top-Down Shooter, Co-op Campaign, and Arcade): closest matches first, and among equally close ones the better-known games.

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

DoDonPachi Resurrection
Shared: Shoot 'Em Up · Top-Down Shooter · Bullet Hell

BALL x PIT
Shared: Bullet Hell · Arcade · Shoot 'Em Up

Nova Drift
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Deep Rock Galactic: Survivor
Shared: Bullet Hell · Top-Down Shooter · Arcade

Brotato
Shared: Bullet Hell · Local Co-Op · Singleplayer

Ikaruga
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Bit Blaster XL
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Star Saviors
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Revolution Ace
Shared: Shoot 'Em Up · Bullet Hell · Arcade

DARIUSBURST Chronicle Saviours
Shared: Shoot 'Em Up · Arcade · Bullet Hell

Geometry Wars™ 3: Dimensions Evolved
Shared: Shoot 'Em Up · Bullet Hell · Arcade

HELLDIVERS™ Dive Harder Edition
Shared: Top-Down Shooter · Local Co-Op · Sci-fi

Crimzon Clover World EXplosion
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Greedland
Shared: Shoot 'Em Up · Bullet Hell · Score Attack

ZeroRanger
Shared: Shoot 'Em Up · Bullet Hell · Arcade

20 Minutes Till Dawn
Shared: Bullet Hell · Shoot 'Em Up · Top-Down Shooter

Chippy
Shared: Bullet Hell · Shoot 'Em Up · Top-Down Shooter

Lovers in a Dangerous Spacetime
Shared: Local Co-Op · Co-op Campaign · Space

Vampire Survivors
Shared: Bullet Hell · Arcade · Local Co-Op

Nex Machina
Shared: Bullet Hell · Shoot 'Em Up · Arcade

Mushihimesama
Shared: Shoot 'Em Up · Bullet Hell · Arcade

ESCHATOS
Shared: Shoot 'Em Up · Bullet Hell · Top-Down Shooter

The Bug Butcher
Shared: Shoot 'Em Up · Arcade · Bullet Hell