Hi Rougenar,
Based on your preferences (clean runs, strong rogue elements, medieval/fantasy preferred, wide variety of items), here are some recommendations you might enjoy:
1. Tangledeep – Turn-based with traditional roguelike roots, great variety of loot, skills, and class customization. Fantasy setting.
2. Orb of Creation – More of an idle/incremental roguelike twist, very satisfying progression and discovery, fantasy-themed.
3. Cursed to Golf – While not fantasy, it’s a clean-run roguelike with unique mechanics and good item variety.
4. Dungeons of Dredmor – Classic roguelike with humor, deep item/powerup variety, and strong fantasy setting.
5. Brogue – Pure roguelike, very clean design, deep gameplay without meta-progression bloat.
6. Chronicon – Diablo-like ARPG with roguelite elements, loads of loot, deep build crafting.
7. Into the Breach – Sci-fi setting but extremely tight design with clean runs. Tactical, rewarding.
You might be picky, but your taste is clear — clean design, strong variety, and meaningful choices. Let me know if you want recommendations based on specific mechanics or platforms!
Cheers!