Games like Twisted Survivors
Games like Twisted Survivors include Halls of Torment, Vampire Survivors, Megabonk, Death Must Die, and The Spell Brigade. We matched them by the tags players give Twisted Survivors on Steam (Action Roguelike, Dark Fantasy, Action, Bullet Hell, and Roguelike): closest matches first, and among equally close ones the better-known games.

Halls of Torment
Shared: Action Roguelike · Bullet Hell · Dark Fantasy

Vampire Survivors
Shared: Action Roguelike · Bullet Hell · Roguelite

Megabonk
Shared: Action Roguelike · Bullet Heaven · Roguelike

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

The Spell Brigade
Shared: Action Roguelike · Bullet Hell · Bullet Heaven

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

BALL x PIT
Shared: Action · Action Roguelike · Bullet Hell

Nuclear Throne
Shared: Action Roguelike · Roguelike · Bullet Hell

Soulstone Survivors
Shared: Action Roguelike · Bullet Heaven · Bullet Hell

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

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

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

Ravenswatch
Shared: Action Roguelike · Roguelike · Action

Dead Cells
Shared: Action Roguelike · Roguelike · Pixel Graphics

Brotato
Shared: Action Roguelike · Roguelike · Bullet Hell

Gunfire Reborn
Shared: Roguelike · Roguelite · Action Roguelike

Boneraiser Minions
Shared: Action Roguelike · Bullet Hell · Roguelite

Streets of Rogue
Shared: Action Roguelike · Roguelite · Action

Atomicrops
Shared: Action · Bullet Hell · Roguelike

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

Sephiria
Shared: Action Roguelike · Roguelike · Roguelite

Hero Siege
Shared: Action Roguelike · Pixel Graphics · Roguelike

Hades
Shared: Action Roguelike · Action · Roguelite

Tower of Babel: Survivors of Chaos
Shared: Action Roguelike · Bullet Hell · Bullet Heaven