
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.
Modeled estimate, not a reported figure. How we estimate →
Discounts
Every price cut of more than 20% we have observed, in each market that quoted one, with this game's chart position on either side of it. These are episodes, not a model: a sale is one event, and one event cannot tell you what the next one will do.
Reviews, worldwide (the counter carries no country): 0.71/day in the week to Aug 28 → 2.29/day in the week after.
Reviews, worldwide (the counter carries no country): 0.17/day in the week to Jul 21 → 1/day in the week after.
For scale, across Steam · Top Sellers · Brazil over the last 30 days: the 25 chart moves that followed a price cut of more than 20% went a median of 10 places towards #1, and the 2,413 moves with no price cut behind them went 2 away. One store, one chart, one country — it is the only place we have enough observations to say even that.
Prices outside the United States have been collected since 6 August 2026 and chart positions since 19 July 2026, so a cut older than that has no market to compare and a market that joined later has no history yet. Nothing here is converted between currencies.
About
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.
Every pill impacts your resistance. Manage it wisely: zero resistance means death.
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.
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?
A single player mode
A multiplayer mode (2-4 Players)
15+ unique items
6 pill types to test
Genres
Engagement
Reviews
Themes across 109 recent reviews and how positive each mention is. A keyword signal, not full sentiment analysis.
Reviews
gamble slop, buy it with ur mates, play for an hour or two and forget about it forever. prp made with Claude too, slop farming
I played a few hours expecting a great and fantastic game, but that greatness was only short lived. The game is the same loop over and over again after the first hour. It does not take long to unlock all of the different abilities and items. This game is basically a knockoff of Buckshot Roulette, only worse. Multiplayer lobbies practically don't exist. You will wait for one to show up longer than the round lasts. The only way you can get a lobby is if your friends also buy this game, but I wouldn't want them to waste money on this game. It also doesn't help that this game feels like a quick cash grab. The devs uploaded the game, took the money, and went completely silent. No updates, no patches, no communication, nothing for years. If you want a refund, you will know quickly, because the boredom kicks in fast. Skip it.
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Price dynamics, follower growth, revenue and sales trajectories with interactive tooltips
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Stats
All-time low is the lowest price we've recorded for this game since we started tracking it.
Languages: English, French, Italian, German, Spanish - Spain, Japanese, Korean, Portuguese - Brazil, Russian, Simplified Chinese
Hours played at review time, across 109 reviews with recorded playtime.
positive critical· bar length = how often the theme comes up
its good but barebone and needs more content. overall pretty dissapointing as it feels like a demo.
I became a druggie. Much recommended to get hooked with friends ---{ Graphics }--- ☐ You forget what reality is ☐ Beautiful ☐ Good ☑ Decent ☐ Bad ☐ Don‘t look too long at it ☐ MS-DOS ---{ Gameplay }--- ☐ Very good ☐ Good ☑ It's just gameplay ☐ Mehh ☐ Watch paint dry instead ☐ Just don't ---{ Audio }--- ☐ Eargasm ☐ Very good ☐ Good ☑ Not too bad ☐ Bad ☐ I'm now deaf ---{ Audience }--- ☐ Kids ☑ Teens ☑ Adults ☐ Grandma ---{ PC Requirements }--- ☐ Check if you can run paint ☑ Potato ☐ Decent ☐ Fast ☐ Rich boi ☐ Ask NASA if they have a spare computer ---{ Game Size }--- ☑ Floppy Disk ☐ Old Fashioned ☐ Workable ☐ Big ☐ Will eat 15% of your 1TB hard drive ☐ You will want an entire hard drive to hold it ☐ You will need to invest in a black hole to hold all the data ---{ Difficulty }--- ☐ Just press 'W' ☐ Easy ☐ Easy to learn / Hard to master ☑ Significant brain usage ☐ Difficult ☐ Dark Souls ---{ Grind }--- ☑ Nothing to grind ☐ Only if u care about leaderboards/ranks ☐ Isn't necessary to progress ☐ Average grind level ☐ Too much grind ☐ You'll need a second life for grinding ---{ Story }--- ☑ No Story ☐ Some lore ☐ Average ☐ Good ☐ Lovely ☐ It'll replace your life ---{ Game Time }--- ☐ Long enough for a cup of coffee ☑ Short ☐ Average ☐ Long ☐ To infinity and beyond ---{ Price }--- ☐ It's free! ☑ Worth the price ☐ If it's on sale ☐ If u have some spare money left ☐ Not recommended ☐ You could also just burn your money ---{ Bugs }--- ☑ Never heard of ☐ Minor bugs ☐ Can get annoying ☐ ARK: Survival Evolved ☐ The game itself is a big terrarium for bugs ---{ ? / 10 }--- ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☑ 7 ☐ 8 ☐ 9 ☐ 10
It could be good, but some things bring it down: 1. Connectivity issues (multiplayer with friends): - game freezes for a player - player gets replaced by AI but stays watching as spectator - end game screen constantly freezes for everyone 2. Quality of life - can't cancel selected item - confusing way of showing of player using items, making it unclear which player is performing the action, or even what happened exactly (specially confusing for new players) - there's no victory screen or animation, the game just goes black (it's a bigger bummer than it seems, cause the whole match feels kind of meaningless because of this; and this also makes the game feel a bit unfinished) The game itself is ok, but I can't recommend it with these problems, and it seems they won't be fixed, cause the game is not being updated anymore.
its fun but not like. longterm fun. its like play for an hour with your friends fun
[h1] SIDE EFFECTS — Безумный кооп для любителей острых ощущений [/h1] SIDE EFFECTS — это пошаговая медицинская рулетка на выживание, от которой я ожидал весёлого фанового кооператива на вечер. Решил ворваться сюда с друзьями ради безумных экспериментов и угарных посиделок. Игра полностью оправдала ожидания, утянув нас в пучину абсолютного неадеквата и жёсткого трипа. [b] Что изменилось во взгляде на игру? [/b] [b]Графика:[/b] Справедливости ради, визуал здесь сделан со вкусом. Психоделичный дизайн, специфические анимации персонажей во время приёма препаратов и гнетущие эффекты искажения экрана отлично работают на общую атмосферу безумия. [b]Атмосфера и механики:[/b] Сама по себе игра невероятно напряжённая. Ты никогда не знаешь, что за средство сейчас проглотишь — полезный буст или внезапный проигрыш. Атмосфера паранойи давит на мозги, заставляя судорожно блефовать и подставлять своих напарников. [b]Геймплей и кооператив:[/b] Самая хаотичная часть. Механика завязана на риске. Пробовать экспериментальные таблетки наперегонки, сталкиваться с побочками и спорить друг с другом — игровой процесс превращается в бесконечный поток дикого хаоса и смеха. [b] Маленький нюанс [/b] Если вы пришли сюда поиграть с очень серьезными людьми — забудьте. В эту игру нужно заходить исключительно сыгранной компанией друзей, готовых к полному отсутствию логики и готовых бороться друг с другом до последнего. [hr][/hr] [b] Итог: [/b] Интересный проект в своём жанре, который подарит вам тонну незабываемого азарта и испытаний для вашей дружбы. [b] Моя оценка: 9 из 10. [/b]
Все предметы сп##здили, таблетки напихали в рот и уб#ли. Больше я ни с кем из них не общаюсь. Отличная игра, чтобы избавиться от ненавистников. игра на раз.
I can't prove it but in singleplayer mode, you have roughly 0.0000001% chance to win against AI. But a nice alternative for gambling. Shout out to Sherlock s1e1.
Задумка очень хорошая, но контента буквально на час. Судя по всему на игру забили, так что чао.
Active players
Estimated daily and monthly active players (DAU/MAU) modeled from peak concurrency.
Players by region
Where this game's players are, estimated from review languages.
Players also reviewed
The games this title's players most often review too — audience affinity.
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