Games like Vortex Attack EX
Games like Vortex Attack EX include Bit Blaster XL, Planes, Bullets and Vodka, Ikaruga, Nova Drift, and Vampire Survivors. We matched them by the tags players give Vortex Attack EX on Steam (Bullet Hell, Shoot 'Em Up, Casual, Difficult, and Arcade): closest matches first, and among equally close ones the better-known games.

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

Planes, Bullets and Vodka
Shared: Casual · Shoot 'Em Up · Bullet Hell

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

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

Vampire Survivors
Shared: Bullet Hell · Casual · 2D

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

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

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

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

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

Cuphead
Shared: Difficult · Bullet Hell · 2D

Beat Hazard
Shared: Bullet Hell · Shoot 'Em Up · 2D

Starblast
Shared: Casual · Shoot 'Em Up · Arcade

Cyberhunt
Shared: Casual · Shoot 'Em Up · Arcade

Geometry Wars: Retro Evolved
Shared: Casual · Bullet Hell · Arcade

Touhou Tenkuushou ~ Hidden Star in Four Seasons.
Shared: Bullet Hell · Shoot 'Em Up · Difficult

Touhou Koumakyou: New Classic - the Embodiment of Scarlet Devil
Shared: Bullet Hell · Shoot 'Em Up · Difficult

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

DoDonPachi Resurrection
Shared: Shoot 'Em Up · Bullet Hell · Arcade

Chippy
Shared: Bullet Hell · Shoot 'Em Up · Difficult

Enter the Gungeon
Shared: Bullet Hell · Difficult · 2D

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

Touhou Kinjoukyou ~ Fossilized Wonders.
Shared: Bullet Hell · Shoot 'Em Up · Shooter

Chicken Invaders 5
Shared: Casual · Shoot 'Em Up · Bullet Hell