A twisted trial of pill roulette for up to 4 players (solo or online). Pick your poison. Use experimental items to shift the odds. And remember: only one of you can survive.

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Download SIDE EFFECTS DEMO

This game is not yet available on Steam

Planned Release Date: Nov 21, 2025

This game plans to unlock in approximately 8 days

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About This Game

Up to four test subjects. One twisted medical trial. Only one leaves.

Welcome to Side Effects: a tense, turn-based medical roulette game. Each round you'll be presented with a selection of pills. Some are helpful, some are harmful, and some mean instant death. You never know what you're about to consume or what it might do to your mind or body. Winning means outlasting – AKA, outliving – your opponent across the table.

Resist

Every pill impacts your resistance. Manage it wisely: zero resistance means death.

Experiment

Between rounds, you can choose from a range of experimental items and treatments that can shift the odds in your favor, from vaccines to mouth clamps.

You’re not alone

The other patient wants to outlast you. They’ll bluff, adapt, and use everything at their disposal to keep breathing one dose longer than you.

Would you like to participate?

This trial includes:

  • A single player mode

  • A multiplayer mode (2-4 Players)

  • 15+ unique items 

  • 6 pill types to test

Mature Content Description

The developers describe the content like this:

This game displays a roulette-like consumption of pharmaceuticals.

System Requirements

    Minimum:
    • OS: Windows 10
    • Processor: Intel Core i3
    • Memory: 2 GB RAM
    • Graphics: Relatively modern dedicted graphics card (Vulkan support required)
    • Storage: 500 MB available space
    • Additional Notes: Vulkan support required
    Recommended:
    • OS: Windows 10
    • Processor: Intel Core i5
    • Memory: 4 GB RAM
    • Graphics: Relatively modern dedicted graphics card (Vulkan support required)
    • Storage: 500 MB available space
    • Additional Notes: Vulkan support required
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