
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
不知道是不是暗改概率了 反正我吃就必中 希望你妈出门必被车撞死
i love forcing my friends to eat cyanide pills
A rather boring, uninspired, and buggy variation of Buckshot Roulette. Some of the tools are inventive, and the art style isn't bad overall. But the game is pretty boring and gets old quickly.
Media

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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
I guess i'll review this game. This game doesn't have much goin on for it. There's single player and multi player just seen someone hostin a lobby but i did'nt enter even though there was room for 1 more. There's no trophies to hunt (achievements) so there isn't a lot of replayability. From what people are saying the multi player is fun but idk cuz ive never tried it. This game had some potential to really be fun but from what others saying is that the devs abandoned it and movin on to a different game. The game is SO SO but ima give it a thumbs down just because of the fact they didnt add the easiest of things which is the trophies. If you're looking for the type of game that gambles the characters life and play with someone go play Bucksot Roulette i had fun playing that with my nephew and using the items that are given to you. You can strategize better in that game and also at least it has some kind conversations happening in game with the character you goin against in one player mode. it's not a long game but it's fun for the short amount it takes to beat it. It can turn long once you go into Double or Nothin mode.
No updates. Dead game.
but u should buy it at a discount
I want to like this game but it's too buggy, and there's no updates.
Fix your game please, bot took control of me and i'm just watching how he plays
Veryyyyyy enjoyable !!!!!! I had fun in single player but I thought I may get bored later. When I played with friends, WE HAD LOTS OF FUN AND SHARED LAUGHS !!! Really it became one of "Must play with friends starter pack" Please add more content, Keep it always fresh :)
I didnt play the Multiplayer yet but the single player is lot of fun. for the same price you could buy a bag of chips which doesent last that long.
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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