What it likely sold — estimate, stated as a range on purpose
Lifetime units: ~42,189
(P10–P90: 16,876 – 92,816)
Gross revenue: ~$172,629
($69,053 – $379,785)
Estimate, method v1.0 — before Steam's ~30% share, refunds and VAT. The band means: we'd be surprised if the truth sat outside it. How we estimate
Player voice — measured shares of Steam thumbs, never a model
Last 90 days: 84% positive across 38 stored reviews. Strategy games with 100+ reviews typically sit around 83% (median of 1995 games).
Multiplayer & community71% positive · 72 mentions
“Game is fun and great to play with friends and even better while drunk, i just hope they add more items to use in the future, different pills, different affects the pills give you and even slight hallucinations would be sick.”Recommended · Steam review · Feb 2026 · 6 h played
Performance & stability56% positive · 32 mentions
“Side Effects is a multiplayer party game for up to 4 players built around pill roulette. Each round you pick pills, use experimental items, and try to be the last one standing. As the game goes on, the odds and outcomes get harder to read…”Recommended · Steam review · Jan 2026 · 1 h played
Gameplay & mechanics68% positive · 22 mentions
“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…”Recommended · Steam review · Jul 2026 · 2 h played
Price & value64% positive · 22 mentions
“Side Effects is a multiplayer party game for up to 4 players built around pill roulette. Each round you pick pills, use experimental items, and try to be the last one standing. As the game goes on, the odds and outcomes get harder to read…”Recommended · Steam review · Jan 2026 · 1 h played
Content & longevity57% positive · 21 mentions
“Simple And Visceral Things I Like About Side Effects: Pills-swallowing Buckshot Roulette Similar to Buckshot Roulette in nature of the ruthless testament of luck, with less dark, rusty, oppressive atmosphere and more cold, indifferent…”Recommended · Steam review · Dec 2025 · 2 h played
Visuals & audio60% positive · 20 mentions
“Side Effects is a multiplayer party game for up to 4 players built around pill roulette. Each round you pick pills, use experimental items, and try to be the last one standing. As the game goes on, the odds and outcomes get harder to read…”Recommended · Steam review · Jan 2026 · 1 h played
Story & writing53% positive · 17 mentions
“Very unique and very enjoyable. Besides a few bugs which are inevitable with new games and have also been mostly fixed, its great. Amazing character design and fun concept. Very good replay ability because of all the modifiers, items and…”Recommended · Steam review · Jan 2026 · 9 h played
299 recent English reviews stored · topics keyword-matched · topics under 12 mentions stay hidden · methodology