Top similar games like Sanatorium of Evil:

Grab your pots and pans—defendyour home! Village Survivors is a lighthearted, comedic survivors-like game (bullet heaven). Play a villager standing up for their home, turn bowls, flower pots, and frying pans into weapons, and level up to mow down an invading army!

Roguelite action game with RPG elements in a world of grim bioengineering. Control a growing lab, craft monsters from body parts, boost them with random upgrades, and send them into ever-changing trials. Unlock modules, tweak builds, and adapt to enemies that change with every run!

Aboard your ship, destroy the hordes of aliens attacking you by choosing your weapons and upgrades as you play, and defeat the final boss! In this roguelite, each ship has a different weapon layout, giving each one its own unique playstyle. Then create your ship and develop your own strategy!

There’s no R.I.P at E-Lich Corp! Explore the afterlife in this roguelite bullet heaven that is all about humor, insane power-levels, replayability and awful office jokes. Reap souls along your undead coworkers in a company that values your life. And death. Literally.

Aggrolotls is a top-down arena roguelike where you play as tiny axolotls and must evolve into a swarm that can take on powerful creatures from the sea. Level up and choose from upgrades that make each round feel unique.

Sigma Survivor is a roguelike type game. Lead your hero and survive the whole round while enemies of every kind cross your path. Grab power-ups, take risks, play MINIGAMES, upgrade your character, and come back stronger with every run!

Fight versus unlimited hordes of lizards and italian brainrot animals in post-soviet environment.

Mow down countless crops and corrupt critters while crafting game-breaking builds! Pesticide Not Required is an action roguelite bullet heaven game with farming sim elements that offers a myriad of stats and special character traits to create wildly diverse run possibilities.

Raging Bullet is a mindless, roguelite arena shooter. Unlock tons of upgrades, collect power-ups and survive as you battle hordes of monsters. Make yourself the embodiment of destruction in any way you can.

Fight hordes of Covenant & Flood in this new game mixing Roguelite & Bullet Heaven for hours of mindless fun!

A neon bullet-heaven roguelite about refusing deletion. Auto-fire through endless swarms, evolve your weapons into ultimate forms, then rewrite them with 111 mods. Raid a dungeon that punishes you for levelling up, climb a ladder with no top, and delete the machines running the grid.

Annihilate hordes of enemies in this thrilling, fast-paced action roguelite rpg and fill the screen with your magic. Kill your foes, become stronger each second and upgrade your characters with new spells and abilities. Can you survive the monsters that threaten your very existence?

A horde-survival roguelite in a cursed office tower. Weaponise the stapler, the hot coffee and the all-hands microphone, keep your panicking colleagues from quitting mid-fight, and ride the elevator up floor by floor. Overtime is not optional.

Stay Alive is a game with simple gameplay, designed in retro pixel art style, with elements of mythology and roguelite. Sometimes running away isn't the solution, but sometimes you shouldn't even look back, and giving up isn't always the end.

Survive the twilight or be consumed by it. A casual roguelite where every choice shapes your power — and thousands of creatures stand between you and dawn.

A Turkic folk-horror bullet-heaven roguelite. Every run drifts between two gods; feed Erlik's corruption for savage power and lifesteal, or rise toward Tengri's light for shields and renewal. Every weapon evolves down two opposed paths. Survive the Long Night.

Dachs Hunter is a survivors-like game where you play as Pitty, a wiener-dog wizard. Battle through elemental biomes and grow powerful enough to face Dachs the Terrible.

Dig up, not down. Pilot a mining pod through an endless shaft, six biomes and the boss guarding each one. Eighteen weapons that fire themselves, twenty-nine items to find, six miners to choose from, and one loaf of bread a biome for when your hearts run low

Blast Head is a meta progression-focused roguelite/bullet heaven with absurd weapons, powerful runes, and non-linear weapon skill trees. Dive into 10–30 minute runs, discover wild synergies, and unleash chaos across alien arenas.

A fast-paced Bullet Hell roguelike where your "hero" is a heavily armored sewage truck. Drift through thousands of enemies, combine dozens of absurd weapons and passive skills. Upgrade your heavy machinery and survive the shift!

Don’t just mow down the horde—weaponize the battlefield. Lure enemies into spinning gears, ignite fuel slicks, chain lightning through metal, fuse bubbles with abandoned mechs, or hurl cars into the swarm. 9 hunters bend the arena in different ways, and every run lasts 10–15 minutes.

Brew your own weapons from scratch and unleash them on hordes of homunculi! In this survival roguelite, every ingredient combination creates a potion that splashes, moves, and reacts in a unique way. Discover absurd synergies and rescue fellow alchemists in your quest for the Philosopher’s Stone.

A fast-paced action roguelike where time is your vital resource. Battle digital hordes, harvest fragments to survive, and use Chrono Tokens for deep, ARPG-style weapon customization, traveling through planets to save the dimension.

Choose your race and class, create a unique build, and battle relentless hordes in VERAKORIA. Collect experience, unlock powerful upgrades, defeat deadly bosses, and survive the escalating onslaught in this pixel-art action roguelite.

A bullet heaven roguelite set in a procedurally generated universe. Land on planets to harvest resources, craft hundreds of game-breaking builds, and unleash them on relentless waves of aliens. Every run unveils a new universe: endless challenges, endless discoveries.