Been playing a bit of Intravenous. It's a top-down shooter very similar to Hotline Miami, but it's much more focused on stealth, which big maps structured around lights and shadows. You're using night goggles, silencers, or your hands, you hide bodies, avoid leaving bloodstains, switch lights, and the baddies react to the slightest oddity in sight (such as a light being turned off in the next room), and helpfully state what they are reacting to. And when it devolves into a massive shootout, it devolves hard. The baddies don't shrug it off after 30 seconds to resume their scripted path. They do look for you everywhere.
So, while the look is very similar to Hotline Miami, the feel is completely different, closer to Hitman (minus disguises) or Splinter Cell I guess (never played Splinter Cell or MGS). It's fun. Naratively a bit gooey (it's a very Death Wish era kind of plot, and an introductory text swears the author isn't encouraging you to go murder junkies irl), but quite tense and unforgiving, especially if you're not in a savescum mindset.
So, if you wished for a slower, more deliberately paced Hotline Miami, with a thousand of possible little interactions (throw stuff to distract baddies, use the toilet, eat the pizza, check your noise and visibility gauges, compare weapon stats, equip tazer, bomb and medkit, etc), it's worth the borderline-partyhard/hatred gritcore rolleye.