I do feel Halls of Torment does a good job of separating itself from Vampire Survivors. There is actual aiming and an attack button if you want and there's Diablo style gear you can equip before and during runs.

What it is not good at is visual clarity. I very frequently take damage or even die because I couldn't see something over all the stuff my character was throwing out. VS also has this problem but it's lessened by the fact that by that point everything's probably dead in 2 seconds anyways.