In Psalm 22:11-19, the psalmist similarly describes being surrounded by troubles and heart melting, echoing the overwhelming distress of Psalm 40:12.

Psalm 38:4 uses the same imagery of sins overwhelming like a heavy burden, directly paralleling the confession here.

In Psalm 51:3, David confesses his sin is always before him — the same personal awareness of sin overwhelming him.

In Psalm 65:3, the psalmist says 'we were overwhelmed by sins' — the exact same concept of being overcome by transgressions.

Psalm 143:7 echoes the same desperate plea for speedy deliverance when the spirit fails, mirroring the heart failure here.

Psalm 69:4 uses the same 'more than the hairs of my head' metaphor for enemies, while Psalm 40:12 applies it to sins.

Psalm 73:26 echoes the failing heart but adds that God is the strength, offering hope beyond the despair of Psalm 40:12.

Psalm 139:18 uses a similar counting metaphor ('more than the sand') for God's thoughts, contrasting with the overwhelming number of sins here.

Psalm 19:12 acknowledges hidden faults and asks for forgiveness, paralleling the psalmist's confession of being overwhelmed by sins.

Luke 18:13 shows the tax collector's humble confession of being a sinner, similar to the psalmist's acknowledgment of sins overtaking him.

Isaiah 53:6 speaks of the LORD laying our iniquities on the servant, echoing the theme of sins overwhelming but with a redemptive focus.

Luke 18:14 declares that the humble sinner is justified, offering hope that contrasts with the psalmist's despair over sins.

Hebrews 4:15 presents Jesus tempted without sin, contrasting with the psalmist's confession of sins overwhelming him.

1 Peter 3:18 describes Christ suffering for sins as the righteous for the unrighteous, contrasting with the psalmist's suffering due to his own sins.