Top similar games like Osteomalacia:

A tense top-down post-apocalyptic survival shooter where every bullet, bandage, and inventory slot matters.

Fight through relentless waves of zombies in this action-packed top-down shooter! Collect weapon parts, craft insane custom guns, and unleash devastating synergies to survive as long as you can.

Blood Running is a stylish extraction shooter where you'll enter the cyber-wasteland, fight off creatures and bandits, loot valuable gear, and venture into the remnants of a world in ruins. Are you willing to bleed to survive, Blood Runner?

Face the horde in a world of shifting light and rainy nights. Choose from 4 heroes and 3 weapons to survive 2 deadly maps. Customize your run with 100+ nodes. Play solo or split-screen across 3 difficulties. Start at 6 AM. When the colors fade to gray, the real fight begins.

Fight through dangerous space stations in this 2d Bird's eye rougelike dungeon crawler! Clean up as many stations as you can!

Rebuild The Shelter is a top-down PvE extraction survival shooter. Search randomized wasteland maps for supplies, fight zombie hordes and mutated enemies, unlock weapons, skills, and random buffs, extract with your loot, and gradually rebuild a safe shelter in the apocalypse.

Battle against hordes of violent creatures in this 2D arcade-shooter. Utilize your vast arsenal of weapons to survive across the 8 maps, level up using the unique class and perk system, beat your previous high scores as you become stronger. Endure the peril alone, or with up to 3 other friends.

2045. Life's never been cheaper. Shells mean you can come back if you have money. You used to. Now you're on the bottom in a cyberpunk sprawl. Claw your way back up through wet work as a Shell Runner, in a PvE extraction looter shooter, where a gig can make you rich - or broke.

Dimension hop to freedom across hostile planets. Blast, slash, and laser alien hordes while crafting powerful synergies by combining unlockable skills with infinitely stacking items and perks. Become unstoppable in this action roguelike—and confront the Entity beyond the Rift.

Fight, upgrade, and survive in a fast-paced top-down action roguelite where 20 unique heroes with special traits, weapons and abilities take on the swarm of alien bugs.

Shell Runner - Prelude is a PvE Extraction Top-Down Looter-Shooter set in a cyberpunk dystopian future. As a mercenary your objective is as clear as it's dangerous: infiltrate, assassinate, loot, and extract without dying. Or fail, and lose everything.

Blood Running: Prologue is a stylish extraction shooter where you'll enter the cyber-wasteland, fight off creatures and bandits, loot valuable gear, and venture into the remnants of a world in ruins. Are you willing to bleed to survive, Blood Runner?

A 2D top-down extraction shooter set in a world where most of humanity has disappeared. Explore and scavenge a dangerous planet with the aid of your mechanized Aether Beast. Upgrade and customize your equipment, explore mysterious ruins, and interact with the people and factions on the planet.

As a Forgekeeper, upgrade your weapons, unlock powerful abilities, and battle relentless waves of alien invaders. Defend key locations, and help other comrades in this fast-paced roguelike action game. Adapt, strategize, and survive—can you withstand the onslaught?

Project S.U.N.D.I.A.L. is a PvPvE extraction shooter playable in single-player or online. Explore a shattered Europe, battle hostile players, ruthless raiders, and terrifying Hollows, then fight your way to extraction.

A co-op roguelite wave defense and exploration game based on liminal spaces. Defend the CORE against waves of anomalies shaped from surreal internet dreamscapes. Explore liminal spaces, harvest remnant, and restabilize the CORE: alone or with other Users.

Shoot to move. Move to survive. A space action roguelike about momentum, chaotic battles, loot, builds, and bosses.

Holomancer is an expansive sandbox RPG where magic, technology, and survival collide. Explore a living, procedurally generated world, master the art of holomancy, and bend creation to your will.

Now with over 600,000 copies sold, ZERO Sievert is a tense top-down extraction shooter that challenges you to scavenge a procedurally-generated wasteland, loot gear, and explore what’s left of a devastated world. When the odds are stacked against you, you’ll need to do more than just survive...

Play as a robot vacuum in this Rogue-lite action shooter. Mow down through hordes of goons and enemies as you traverse through 12 stages, and 3 boss fights. Loot among many guns, spears, throwing stars and different powerups to choose your build.

Momentum is your greatest advantage. It's also your biggest mistake. A momentum-driven roguelite twin-stick shooter set in a procedurally generated, living quantum arena that never lets you settle in. Stack weapons and mods into a drone built to survive it.

Tetron is a 1-bit, top down, atmospheric, twin stick action roguelite with a unique perk based upgrade system, a wide variety of enemies, depthful combat, and distinct procedural levels.

An interdimensional rift just ruined Mothman's peaceful shack life! Into the Lumberwoods is a fast-paced top-down bullet hell roguelite about a very annoyed Mothman defending his woods using anything that isn't nailed down. Venture into the woods and blast weird monsters back to where they belong.

School Fighter is a top-down arena roguelite shooter where you play as a student who fights off school enemies using paper airplanes. You have access to a school shop, unique perks, and an upgrade station to help you create a powerful character and overcome the school nightmare!

The universe is yours to conquer in That's My Space. Gather resources, craft powerful weapons, upgrade your spaceship and battle against enemy nations to become the ultimate space explorer.

Use limited resources to try to acquire more equipment, and then continuously explore the scene to survive.