70		Killing Floor 2 (PlayStation 4, 2016)
67		F.3.A.R. (PlayStation 3, 2011)
66		Condemned 2: Bloodshot (PlayStation 3, 2008)
66		Dead Island (PlayStation 3, 2011)
65		The Walking Dead: Survival Instinct (PlayStation 3, 2013)
63		The Darkness (PlayStation 3, 2007)
62		F.E.A.R.: First Encounter Assault Recon (PlayStation 3, 2007)
62		Paranautical Activity (PlayStation 4, 2016)
62		Aliens: Colonial Marines (PlayStation 3, 2013)
61		Darkwatch (PlayStation 2, 2005)
60		Crypt Killer (PlayStation, 1997)
60		Wraith (PlayStation 4, 2018)
60		Ghoul Panic (PlayStation, 2000)
60		Resident Evil: Survivor (PlayStation, 2000)
60		Resident Evil: Survivor 2 - Code: Veronica (PlayStation 2, 2001)
60		Vampire Night (PlayStation 2, 2001)
60		Alone in the Dark (PlayStation 2, 2008)
60		Curse: The Eye of Isis (PlayStation 2, 2003)
60		Ghost Vibration (PlayStation 2, 2002)
60		Daemon Summoner (PlayStation 2, 2006)
56		F.E.A.R. 2: Project Origin (PlayStation 3, 2009)
54		DOOM (PlayStation 4, 2016)
54		Aliens vs Predator (PlayStation 3, 2010)
54		Deadfall Adventures: Heart of Atlantis (PlayStation 3, 2014)
53		Shellshock 2: Blood Trails (PlayStation 3, 2009)
52		Bulletstorm (PlayStation 3, 2011)
52		7 Days to Die (PlayStation 4, 2016)
51		DOOM: VFR (PlayStation 4, 2017)
51		Arizona Sunshine (PlayStation 4, 2017)
50		Alien: Resurrection (PlayStation, 2000)
50		Clive Barker's Jericho (PlayStation 3, 2007)
50		Death Crimson OX (PlayStation 2, 2003)
41		Get Even (PlayStation 4, 2017)

Notes: Games similar to Painkiller: Hell & Damnation, Games like Painkiller: Hell & Damnation, People Can Fly, Sp. z o.o., The Farm 51 Group S.A., Nordic Games GmbH, PlayStation 3, Action, Shooter, Horror, 1st-person, UnrealEngine3, Sony PlayStation, PSX, PS1, PS2, PS3, PS4, Game Similarities.