Games like Vitro : Bloodstream
Games like Vitro : Bloodstream include Shelldiver, Vampire Survivors, Nodebuster, Risk of Rain Returns, and Timberman. We matched them by the tags players give Vitro : Bloodstream on Steam (Casual, Action Roguelike, Medical Sim, Incremental, and PvE): closest matches first, and among equally close ones the better-known games.

Shelldiver
Shared: Casual · Incremental · Arcade

Vampire Survivors
Shared: Action Roguelike · Casual · 2D

Nodebuster
Shared: Casual · Incremental · Arcade

Risk of Rain Returns
Shared: Action Roguelike · PvE · 2D

Timberman
Shared: Casual · Action · 2D

A Game About Feeding A Black Hole
Shared: Casual · Incremental · Relaxing

Cookie Clicker
Shared: Casual · Incremental · Indie

Keep on Mining!
Shared: Casual · Incremental · Relaxing

Astro Prospector
Shared: Casual · Incremental · Action Roguelike

Deep Rock Galactic: Survivor
Shared: Action Roguelike · PvE · Action

Space Rock Breaker
Shared: Casual · Incremental · Arcade

BALL x PIT
Shared: Action · Action Roguelike · Arcade

To The Core
Shared: Casual · Incremental · Arcade

Sixtar Gate: STARTRAIL
Shared: Casual · Action · Arcade

Megabonk
Shared: Action Roguelike · Action · Casual

Crab Champions
Shared: Action Roguelike · Arcade · Casual

Skul: The Hero Slayer
Shared: Action Roguelike · Action · 2D

Shape of Dreams
Shared: Action Roguelike · PvE · Action

Bills Must Be Paid
Shared: Incremental · Casual · Relaxing

Rock Bottom
Shared: Casual · Incremental · Action

Russian Life Simulator
Shared: Incremental · Casual · Action

Rogue: Genesia
Shared: Action Roguelike · PvE · Arcade

Chef Knight
Shared: Casual · Incremental · Action

SNKRX
Shared: Action Roguelike · Arcade · Casual