 If you liked
Kaichou wa Maid-sama!
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 ...then you might like
Gekkan Shoujo Nozaki-kun
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The comedy has a similar vibe. Both are comedy-heavy series with weird male MCs.
If there had to be some kind of spin-off to Maid-sama, it'd be Monthly Girls. This is like a direct comment to the anime as Maid-sama. What we have here are two anime that are simply amazing in what they touch upon. Or in other words, amazing execution.
What is essentially everything from a shoujo anime (Maid-sama) to parody everything of such (Monthly Girls') gives a nice chain of feedback to laugh at what is really good initial work.
It is like a cause-and-effect thing here, but I would actually still recommend the two anime if they like rom-coms.
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Recommended by NextUniverse
This is similar to Maid-sama because they are both romantic type animes and both of the characters or one of them is interested in the other. Both of the animes face situations where both of the main characters have to bond and spend time together. Bonding in the animes makes the main characters closer to each other and romantic interest. The animes are related because they both are romantic comedies as well.
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Recommended by Toru_Tsundere