44		Steel Saviour (Windows, 2004)
43		Absolute Blue (Windows, 2005)
43		Alien Abduction (Windows, 2005)
43		Star Blaze (Windows, 2005)
43		WarMachine Overload (Windows, 2005)
43		Kellogg's Pop-Tarts Presents Ratchet & Madame Gasket's Sweeper Zone (Windows, 2005)
42		Starbound (Windows, 2013)
42		Revolver360 Re:Actor (Windows, 2014)
42		Fren-ze (Windows, 2006)
41		Syder Arcade (Windows, 2012)
41		IO (Windows, 2007)
41		Blood Money (DOS, 1990)
41		Alien Stars (Windows, 2008)
40		Illusion Blaze (DOS, 1994)
40		The Day 4: Icarus (DOS, 1994)
40		Xatax (DOS, 1994)
40		Super Beemger (DOS, 1994)
40		Rooster (DOS, 1995)
40		Trash in Space (DOS, 1996)
40		IAS (DOS, 1994)
40		Zyclunt (DOS, 1995)
40		The Day 5: Assault Dragon (DOS, 1995)
40		Into the Sun: Projected Distruction (DOS, 1995)
40		C-RUSH (Windows, 2014)
40		Leave Home (Windows, 2010)
40		Astro Tripper (Windows, 2009)
40		Thrustburst (Windows, 2008)
40		Angry Birds: Star Wars II (Windows, 2013)
40		SK-111 'Star Killer' (Windows, 1995)
40		Menace (DOS, 1989)
40		Side Arms Hyper Dyne (DOS, 1988)
40		Power-Up (Windows, 2014)
40		Geu Nal-i Omyeon 3: Dragon Force (DOS, 1993)

Notes: Games similar to ANAL: The Rectum Adventure, Games like ANAL: The Rectum Adventure, DOS, Action, Sci-Fi, Futuristic, Side view, Scrolling shoot 'em up, PC, Game Similarities.