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43		TechnoSylph: vsys gaiden Special version (Windows, 2003)
42		Atomaders (Windows, 2002)
41		Cylindrix (Windows, 2001)
41		Spingun (Windows, 2016)
40		Alien Worlds (DOS, 1989)
40		Omega War! (DOS, 1989)
40		Kurt's Spaced Invaders (DOS, 1995)
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40		Invasion of the Mutant Space Bats of Doom (DOS, 1995)
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40		Space Junkie (Windows, 1997)
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40		Round 42 (DOS, 1986)
40		Fire and Ice (DOS, 1989)

Notes: Games similar to Machine Hell, Games like Machine Hell, Nuclear Games, LLC, Nuclear Games, LLC, Windows, Action, Sci-Fi, Futuristic, Shooter, PC, Game Similarities.