SIDE EFFECTS on Steam - User reviews, Price & Information

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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.

SIDE EFFECTS is a strategy, gambling and dark game developed by hirohun, Mr.Pootsley, Jaybooty and Lofar42 and published by Free Lives.
Released on November 21st 2025 is available only on Windows in 10 languages: English, French, Italian, German, Spanish - Spain, Japanese, Korean, Portuguese - Brazil, Russian and Simplified Chinese.

It has received 715 reviews of which 611 were positive and 104 were negative resulting in a rating of 8.1 out of 10. 😎

The game is currently priced at 4.99€ on Steam.

The Steam community has classified SIDE EFFECTS into these genres:

Strategy Gambling Dark Horror 3D Multiplayer First-Person Psychological Surreal Indie Psychological Horror PvP PvE Singleplayer Turn-Based Tactics Thriller Multiple Endings Co-op

Media & Screenshots

Get an in-depth look at SIDE EFFECTS through various videos and screenshots.

SIDE EFFECTS screenshot
SIDE EFFECTS screenshot
SIDE EFFECTS screenshot
SIDE EFFECTS screenshot
SIDE EFFECTS screenshot
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SIDE EFFECTS screenshot

System requirements

These are the minimum specifications needed to play the game. For the best experience, we recommend that you verify them.

Windows
  • 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

User reviews & Ratings

Explore reviews from Steam users sharing their experiences and what they love about the game.

Dec. 2025
It's not a bad game. But that's all I can say about Side Effects. It's something I will buy, play with friends once or twice, and then forget I own. Time goes on.
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Dec. 2025
The game is kinda like Buckshot Roulette but with pills, and the idea is super cool. Playing it in multiplayer with friends is honestly really fun. It really needs more customization and some bug fixes, and the singleplayer is still pretty basic. Overall, it’s a lot of fun, especially with friends.
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Nov. 2025
A pretty nice game. I do miss the fact that the pills don't come out of bottles, like they did in the demo. I am not sure if this game is worth 5 dollars due to the fact that there is very little content once you unlock all of the items in single-player. It gets a little repetitive, even playing with friends. I did enjoy it though.
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Nov. 2025
Game is pretty fun :P would be pretty cool if they could add a local co-op option ;3 pleaseee
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Nov. 2025
People leaving the game after they have one death is insane. The host does this to manipulate a win. I am hosting lobbys where I stay in the game but people rarely join. Host should be moved to another player or rotated in game
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Frequently Asked Questions

SIDE EFFECTS is currently priced at 4.99€ on Steam.

SIDE EFFECTS is currently not on sale. You can purchase it for 4.99€ on Steam.

SIDE EFFECTS received 611 positive votes out of a total of 715 achieving a rating of 8.06.
😎

SIDE EFFECTS was developed by hirohun, Mr.Pootsley, Jaybooty and Lofar42 and published by Free Lives.

SIDE EFFECTS is playable and fully supported on Windows.

SIDE EFFECTS is not playable on MacOS.

SIDE EFFECTS is not playable on Linux.

SIDE EFFECTS offers both single-player and multi-player modes.

SIDE EFFECTS offers both Co-op and PvP modes.

SIDE EFFECTS does not currently offer any DLC.

SIDE EFFECTS does not support mods via Steam Workshop.

SIDE EFFECTS does not support Steam Remote Play.

SIDE EFFECTS is enabled for Steam Family Sharing. This means you can share the game with authorized users from your Steam Library, allowing them to play it on their own accounts. For more details on how the feature works, you can read the original Steam Family Sharing announcement or visit the Steam Family Sharing user guide and FAQ page.

You can find solutions or submit a support ticket by visiting the Steam Support page for SIDE EFFECTS.

Data sources

The information presented on this page is sourced from reliable APIs to ensure accuracy and relevance. We utilize the Steam API to gather data on game details, including titles, descriptions, prices, and user reviews. This allows us to provide you with the most up-to-date information directly from the Steam platform.

Additionally, we incorporate data from the SteamSpy API, which offers insights into game sales and player statistics. This helps us present a comprehensive view of each game's popularity and performance within the gaming community.

Last Updates
Steam data 27 January 2026 18:35
SteamSpy data 25 January 2026 08:29
Steam price 28 January 2026 21:02
Steam reviews 27 January 2026 14:01

If you'd like to dive deeper into the details about SIDE EFFECTS, we invite you to check out a few dedicated websites that offer extensive information and insights. These platforms provide valuable data, analysis, and user-generated reports to enhance your understanding of the game and its performance.

  • SteamDB - A comprehensive database of everything on Steam about SIDE EFFECTS
  • SteamCharts - Analysis of SIDE EFFECTS concurrent players on Steam
  • ProtonDB - Crowdsourced reports on Linux and Steam Deck SIDE EFFECTS compatibility
SIDE EFFECTS
4.99€ Buy Now
Rating
8.1
611
104
Game modes
Multiplayer
Features
Online players
75
Developer
hirohun, Mr.Pootsley, Jaybooty, Lofar42
Publisher
Free Lives
Release 21 Nov 2025
Platforms
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