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Pathogenic

Very Positive · 3.6k reviews · Action · 2026

Pathogenic

10 of the 12 games like Pathogenic are rated Very Positive or higher on Steam. 1 of them are free to play. Prices range from $3.99 to $14.99. Released 2022–2026. They notably share the Roguelike, Top-Down Shooter tags.

Shape Shifter: Formations

Very Positive · 270 reviews · Action · 2025

Like Pathogenic: Bullet Hell · Action Roguelike · Bullet Heaven

Very Positive · 270
Shape Shifter: Formations is an action twin-stick shooter with rogue-lite elements, where you must destroy hordes of geometric enemies alone or with a friend. Select your ship and combine a large variety of weapons, abilities and infinitely stacking upgrades to craft your own unique build.
AIBlast geometric hordes
Action2025.05.27
$14.99

Repetendium

Very Positive · 220 reviews · Action · 2022

Like Pathogenic: Top-Down Shooter · Roguelike · Bullet Hell

Very Positive · 220
Repetendium is a top-down roguelike-lite shooter. Select from a rowdy group of characters to play as and wield an ever expanding variety of gear and items to conquer the underworld. Death awaits...
AIShoot through roguelike underworld
Action2022.11.04
$5.99

Cavity Busters

Very Positive · 95 reviews · Action · 2022

Like Pathogenic: Difficult · Dungeon Crawler · Shooter

Very Positive · 95
Cavity Busters is a roguelite toothpunk bullet hell where you bite and chomp cavity infested enemies. Run on the walls, dodge through bullet filled rooms and stomp baddies. Collect power ups, contract powerful diseases, and carve your way through a bloated body kingdom.
AIBite through hordes in dental dungeons
Action2022.03.18
$14.99

Brotato

Overwhelmingly Positive · 110.7k reviews · Action · 2023

Like Pathogenic: Roguelike · Local Co-Op · Bullet Heaven

Overwhelmingly Positive · 110.7k
Brotato is a top-down arena shooter roguelite where you play a potato wielding up to 6 weapons at a time to fight off hordes of aliens. Choose from a variety of traits and items to create unique builds and survive until help arrives.
AIWield 6 guns as a potato
Action2023.06.23
$4.99

Voidigo

Overwhelmingly Positive · 3.8k reviews · Action · 2023

Like Pathogenic: Action Roguelike · Local Co-Op · Top-Down Shooter

Overwhelmingly Positive · 3.8k
A vividly animated action roguelite focused on boss hunting. Unleash an array of diverse weapons and powerups to combat the corruption of the Void.
AIHunt bosses, purge the Void
Action2023.06.08
$4.99

Raining Blood: Hellfire

Very Positive · 198 reviews · Action · 2025

Like Pathogenic: Difficult · Top-Down Shooter · Bullet Hell

Very Positive · 198
Inspired by the iconic Call of Duty Zombies experience, Raining Blood Hellfire 1.0 is an intense survival bullet hell where chaos reigns and every round is a brutal battle for life — and absolute power. Kill, upgrade, explore, die, repeat.
AIKill, upgrade, repeat
Action2025.07.11
$7.99

PengPong

Very Positive · 154 reviews · Action · 2026

Like Pathogenic: Roguelite · Controller · Action Roguelike

Very Positive · 154
PengPong is a bullet-hell roguelike where pinball meets gambling. Bounce your way through chaos and bet it all to survive.
Action2026.08.20
$12.99 $11.69

Tiny Rogues

Overwhelmingly Positive · 10.2k reviews · Action · 2022

Like Pathogenic: Dungeon Crawler · Replay Value · Roguelike

Overwhelmingly Positive · 10.2k
Tiny Rogues is a challenging fantasy rogue-lite bullet-hell dungeon crawler with rpg elements. Build a new unique character each run and fight one monster-infested room after another! Discover unique weapons, collect magical items and level up to become more and more powerful!
AIRoguelike dungeon chaos evolves each run
Action2022.09.23
$9.99

Fabric Of Reality

Very Positive · 118 reviews · Action · 2022

Like Pathogenic: 2D · Perma Death · Procedural Generation

Very Positive · 118
In this game, you are the bullet hell. Face off against 100 waves of enemies and bosses by collecting a deck of attack cards that activate in real-time to unleash destruction upon everything in sight. There's an insane amount of customizability leading to an infinitely replayable experience.
AIBuild your bullet-spawning deck
Action2022.12.14
$6.99

Galactic Glitch: Prologue

Very Positive · 184 reviews · Action · 2023

Like Pathogenic: Action · Shooter · 2D

Very Positive · 184
Galactic Glitch: Prologue is a stand-alone Action-Roguelike game with physics-based combat mechanics. Fight through bubbles of glitched Spacetime, dodge projectiles, bounce foes off walls and hurl giant rocks in challenging twin-stick combat. Play it for free today!
AIBounce foes in physics combat
Action2023.05.31
Free

Her Name Was Fire

Mostly Positive · 284 reviews · Action · 2022

Like Pathogenic: Bullet Heaven · Survival · Top-Down Shooter

Mostly Positive · 284
Her Name Was Fire is a Tarotpunk twin stick roguelike where you progressively unlock spells and upgrades to defeat hordes of void creatures. Survive the 5 stages of grief and vanquish the Major Allegories.
AISurvive five stages of grief and loss
Action2022.10.11
$3.99

Hand of Fate: Hordes

Mostly Positive · 289 reviews · Action · 2026

Like Pathogenic: Dungeon Crawler · Bullet Heaven · Bullet Hell

Mostly Positive · 289
HAND OF FATE: HORDES is a dark-fantasy bullet heaven auto-shooter powered by your strategic deckbuilding mastery. Survive the horde, forge your build, and unleash devastating attacks to escape a netherworld beyond the 13th Gate. Thrive in chaos!
AIEscape the 13th Gate with deckbuilding mastery
Action2026.07.22
$11.99