

SIDE EFFECTS
- 4+players
- PC
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.
Who can play
Store (how we check facts)- Split-screen is not confirmed.
- Online on PC. Steam lists 4-player online.
- Whether one copy is enough is not confirmed.
How it plays
Is it good
83%
Very positive on Steam
Steam Deck Verified
Every way to play together
Steam lists online multiplayer for PC. Player counts are not confirmed yet. 83% positive of 890 Steam reviews.
- 4+
Quick facts
- Developer
- hirohun
- Publisher
- Free Lives
- Platforms
- PC
- Released
- 21 Nov 2025 on PC
- Languages
- Text in 10 languages
Answers
- Does SIDE EFFECTS have couch co-op?
- No same-screen play is confirmed. The Steam listing does not include it on PC. Online play is the way to play it together.
- Do you need two copies of SIDE EFFECTS?
- No one-copy option is listed, so expect each player online to need their own copy.
- What platforms is SIDE EFFECTS on?
- PC.
- Does SIDE EFFECTS work on Steam Deck?
- Yes: Steam rates it Verified for Steam Deck.
- Is SIDE EFFECTS free?
- No, it's a paid game.
















