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Side Effects is a psychological horror strategy game where every decision could mean life or death. Will you survive this deadly game of chance? Inspired by Buckshot Roulette, Side Effects plunges players into a nerve-wracking experience where each round forces them to ingest mysterious pills—some healing, some harmful, and some instantly lethal.

Gameplay: A Deadly Pill Roulette

At its core, Side Effects is a high-stakes, turn-based game of survival. Each round presents a fresh set of unidentified pills with unpredictable outcomes:

  • Helpful Pills – Restore health, boost resistance, or provide strategic benefits.
  • Harmful Pills – Damage resistance, cause hallucinations, or impair performance.
  • Deadly Pills – Instantly end the game.

Between rounds, players can choose from a variety of experimental treatments—such as vaccines, injectors, or unsettling tools like mouth clamps—that may shift the odds in their favor. But every advantage comes with a risk, and nothing is ever guaranteed.

Tips to Survive the Madness

  • Take your pills cautiously. Identify patterns, but never trust them blindly.
  • Use experimental items wisely. They can offer critical support—but may backfire.
  • Monitor your resistance. If it drops to zero, it’s game over.
  • Outplay your opponent. This is as much a mind game as it is survival—bluff, observe, and outlast.

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