Games like Vaca Bullet
Games like Vaca Bullet include SANABI, Vampire Survivors, Terraria, Red Dead Redemption 2, and Enter the Gungeon. We matched them by the tags players give Vaca Bullet on Steam (Bullet Hell, Action, Shooter, Adventure, and 2D Fighter): closest matches first, and among equally close ones the better-known games.

SANABI
Shared: Action · Pixel Graphics · Adventure

Vampire Survivors
Shared: Bullet Hell · Pixel Graphics · 2D

Terraria
Shared: Adventure · 2D · Survival

Red Dead Redemption 2
Shared: Action · Adventure · Shooter

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

Exit the Gungeon
Shared: Action · Bullet Hell · Adventure

Rise of the Tomb Raider™
Shared: Action · Adventure · Action-Adventure

Broforce
Shared: Action · Pixel Graphics · 2D

PUBG: BATTLEGROUNDS
Shared: Shooter · Action · Survival

BlazBlue Entropy Effect
Shared: Action · 2D · Action-Adventure

Skul: The Hero Slayer
Shared: Action · Pixel Graphics · 2D

The Final Station
Shared: Pixel Graphics · Adventure · Action

Tomb Raider Game of the Year
Shared: Action · Adventure · Action-Adventure

Escape From Duckov
Shared: Action · Adventure · Shooter

Dungeon Munchies
Shared: Action · Adventure · Pixel Graphics

Archvale
Shared: Action · Bullet Hell · Adventure

LUFTRAUSERS
Shared: Bullet Hell · Action · 2D

20 Minutes Till Dawn
Shared: Bullet Hell · Survival · Pixel Graphics

12 is Better Than 6
Shared: Action · Shooter · Western

Zombotron
Shared: Action · Adventure · 2D

Grand Theft Auto V Legacy
Shared: Action · Shooter · Adventure

Forager
Shared: Pixel Graphics · Adventure · Survival

Atomic Heart
Shared: Adventure · Action · Action-Adventure

BioShock Infinite
Shared: Action · Shooter · Adventure