IMHO.

Games like Adverse Effects

If Adverse Effects is your kind of game, the closest matches are Emi - Christmas Special, 记得我 and Picture Perfect — picked from the ranked list below. Reviewers single out its comedic, contemplative and dark. Each pick is ranked by what players of this game also play, shared genres and tags, and review-mined similarity — not a generic popularity list.

Get personalized picks →

About Adverse Effects: Judith has been having issues sleeping, so her solution was to see her doctor. The doctor prescribed her some new sleeping pills that have some Adverse Effects. You play the recipient of these feelings; what will you do when her normal affections turn into something more?

2023Casual4.99 USDWindows · macOSby CellStudios
Adverse Effects — Steam game cover
Players highlight
Bonus ending and scenes rewarding save scummingBonus ending with the doctor teases moreCustomizable relationship options and multiple endingsComedicContemplativeDark

Players who liked Adverse Effects also play

Steam players who put hours into Adverse Effects also tend to own these titles — a signal called collaborative filtering. imho.run cross-references millions of library ownership patterns to surface games whose real audiences overlap, regardless of whether their genre tags match.

  1. Emi - Christmas Special

    WHY THIS

    Top pick for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    Emi and our Protagonist find themselves on the naughty list this year! Follow their holiday escapades as they earn their way back into Santa's good graces.

    2024Casual1.99 USDSteam ↗
  2. 记得我

    WHY THIS

    Shares branching narrative with Adverse Effects.

    Second-strongest match for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    Remember Me is a galgame with a male first-person perspective. Players will play a high school student Lin Yining, and three girls launched their own story. It's up to you to choose between the hidden past and the future to reveal.

    2021Casual2.99 USDSteam ↗
  3. Picture Perfect

    WHY THIS

    Shares branching narrative and a dark mood with Adverse Effects.

    Third-strongest match for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    WARNING 18+: You're a photographer who is close with three young women. There's 18 year-old Miracle who is so shy and introverted she won't leave the house without you. 20 year-old Sasha who dreams of starring on Broadway. And 22 year-old Paris who dropped out of college to mooch off you once more.

    2021SimulationCasual14.99 USDDeck PlayableSteam ↗
  4. Avalon

    WHY THIS

    Shares multiple endings and a contemplative mood with Adverse Effects.

    Ranked #4 for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    Rediscover love, joy and sex through the life of Avalon. Follow her journey of recovery and uncover the hardships of her Uncle's past in this slice of life adult visual novel.

    2021Casual7.99 USDSteam ↗
  5. The DeLuca Family - Season 1

    WHY THIS

    Shares visual novel style, dialogue choices, adult content and a funny mood with Adverse Effects.

    Ranked #5 for Adverse Effects fans by collaborative filtering across millions of Steam libraries.

    The DeLuca Family is a story-driven adult game. Try to win over the ladies of the house and increase in the ranks in the crimeworld. Choose your playstyle with three modes - full experience (Text-based rpg game), story+freeroaming, or VN-Mode. But no matter the mode, lots of lewd!

    2024ActionIndieAdventure15.99 USDDeck PlayableSteam ↗
  6. Westview Academy - Season 1

    WHY THIS

    Shares visual novel style, branching narrative, adult content and a funny mood with Adverse Effects.

    Ranked #6 for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    A talented young man joins Westview Academy, one of the nation's best schools. At Westview Academy, he'll make tough decisions and have unique experiences surrounded by many new friends and different environments. How will your story go?

    2025SportsIndieCasual12.99 USDDeck PlayableSteam ↗
  7. Because I Love Her

    WHY THIS

    Shares choice driven narrative, visual novel style, adult content and a dark mood with Adverse Effects.

    Ranked #7 for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    Because I Love Her is a choice-driven adult Visual Novel that focuses on character relationships over time. Play out the lives of two main protagonists while learning about other love interests and uncover the mystery that surrounds your new neighbors in this zero grind Visual Novel.

    2023IndieRPGCasual8.99 USDSteam ↗
  8. MWNeus

    WHY THIS

    Shares choice driven narrative, visual novel style, adult content and a dark mood with Adverse Effects.

    Ranked #8 for Adverse Effects fans by collaborative filtering across millions of Steam libraries. Shares Casual with Adverse Effects.

    MWNeus revolves around a single love interest: your childhood friend, who hides a secret yet to be revealed.

    2024IndieAdventureRPG9.99 USDSteam ↗

Reviewers mention these as similar to Adverse Effects

Surfaced from review text: when other players write 'if you liked X, try Y', we catch the name and resolve it back to a Steam game.

  1. The Cabin - Summer Vacation

    WHY THIS

    Shares choice driven narrative, character customization and a dark mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play. Shares Casual with Adverse Effects.

    When your summer plans take a sharp detour, and you find yourself out in the middle of the wood, you'll soon learn this will be summer you'll never forget. Filled with adventure, love, fear and danger; your choices could be the difference between life and death out here, at The Cabin.

    2022ActionIndieAdventure5.99 USDSteam ↗
  2. Picture Perfect

    WHY THIS

    Shares branching narrative and a dark mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play. Shares Casual with Adverse Effects.

    WARNING 18+: You're a photographer who is close with three young women. There's 18 year-old Miracle who is so shy and introverted she won't leave the house without you. 20 year-old Sasha who dreams of starring on Broadway. And 22 year-old Paris who dropped out of college to mooch off you once more.

    2021SimulationCasual14.99 USDDeck PlayableSteam ↗
  3. Prince of Suburbia - Part 1

    WHY THIS

    Shares achievement system, character customization and a dark mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play.

    Prince of Suburbia is a kinetic (linear) adult visual novel with only one thing on its mind. This simple sandbox game is packed with lewd scenes and sprinkled with a fun story that aims to never leave you wanting more. Play Part 1 for FREE!

    2023IndieFreeDeck VerifiedSteam ↗
  4. Sisterly Lust

    WHY THIS

    Shares branching narrative and a dark mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play. Shares Casual with Adverse Effects.

    After the sudden death of your father you come back to your hometown and move to a new home to live with Liza, Bella, Rachel and Susan. Will you discover their personalities and secrets and maybe even develop romantic relationships with several of the girls?

    2020IndieAdventureCasual14.99 USDDeck VerifiedSteam ↗
  5. No More Money - Season 1

    WHY THIS

    Shares a lighthearted mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play.

    In this Visual Novel you play the role of a 20 years old guy, who just moved to another city where he starts a new life. Be careful because every choice matters and you can either become the hero of the story or the villain. The choice is yours.

    2022IndieFreeDeck PlayableSteam ↗
  6. Monster College

    WHY THIS

    Shares choice driven narrative, visual novel style, adult content and a funny mood with Adverse Effects.

    Reviewers of Adverse Effects cross-mention this title as a similar play.

    The protagonist of this story discovers that he is a werewolf. In his new life, he will meet beautiful women, each with their own fascinating peculiarities: demons, vampires, zombies, werewolves, gorgons...

    2025IndieAdventure9.99 USDDeck PlayableSteam ↗
  7. The Escort (Special Edition)

    WHY THIS

    Reviewers of Adverse Effects cross-mention this title as a similar play.

    "Wait... This is NOT how the night was supposed to go! I need to lay down and find a way to fix this... Or maybe not?". The Escort is a short Visual Novel where you'll find out what happened to MC in the weirdest night of his life. Wait, was it weirdest or wildest?

    2023Adventure5.00 USDDeck PlayableSteam ↗

Cheaper alternatives

Games in the same vein priced at least 40% below Adverse Effects at current Steam store prices.

  1. The Test

    WHY THIS

    Priced ~60% under Adverse Effects on Steam right now.

    You will answer a series of questions that will reveal truths from deep within. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Test, and if you do, are you sure you want the answers you seek?

    2020IndieAdventureSimulation1.99 USDDeck VerifiedSteam ↗
  2. Blood and Bacon

    WHY THIS

    Priced ~80% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    This Co-op Shooter , has Day and Night levels, multiple maps, players will take on 25 enemy types and numerous bosses, like Gargantuan Monsters and Minibosses every 10 days as you explore, shoot and run for your life against the onslaught of porcine monstrosities.

    2016ActionAdventureCasual0.99 USDSteam ↗
  3. Placid Plastic Duck Simulator

    WHY THIS

    Priced ~60% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    The ultimate high-tech rubber duck simulation, Placid Plastic Duck brings you dangerous levels of relaxation. With chill music, dreamy 3D graphics, and many different happy ducks, your only priority is to float around. Zero Ducks given.

    2022SimulationCasual1.99 USDDeck VerifiedSteam ↗
  4. Peggle Deluxe

    WHY THIS

    Priced ~80% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    Take your best shot with energizing arcade fun! Aim, shoot, clear the orange pegs, then sit back and cheer as 10 whimsical teachers guide you to Peggle greatness.

    2007Casual0.99 USDDeck PlayableSteam ↗
  5. shapez

    WHY THIS

    Priced ~80% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    shapez is an easy-going, minimalistic factory building game about the automation of shapes through extraction and satisfying production lines. Adapt to increasingly complex shapes and grow your factory across an infinitely expanding map. Your only limitation is your creativity!

    2020StrategyIndieSimulation0.99 USDDeck PlayableSteam ↗
  6. The Test: Hypothesis Rising

    WHY THIS

    Priced ~60% under Adverse Effects on Steam right now.

    The second chapter in The Test trilogy. Answer a series of in-depth questions to reveal hidden truths about yourself and unlock secrets to discover how your life can change drastically with just a few, slight modifications. ...But are you sure you want the answers you seek?

    2020IndieAdventureSimulation1.99 USDDeck VerifiedSteam ↗
  7. Insaniquarium Deluxe

    WHY THIS

    Priced ~80% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    The craziest aquarium game ever! Tend to your fish, keep them happy and they'll reward you with coins and jewels. Buy tank upgrades or egg parts which hatch different in-tank pets. These pets can help you feed your fish, collect coins, or even protect against the aliens that will invade your tank.

    2006Casual0.99 USDDeck PlayableSteam ↗
  8. Montaro

    WHY THIS

    Priced ~80% under Adverse Effects on Steam right now. Shares Casual with Adverse Effects.

    Montaro is a DOGE.

    2016IndieCasual0.99 USDDeck PlayableSteam ↗

Free alternatives

Free-to-play games that recommended players of this title also tend to enjoy.

  1. Doki Doki Literature Club!

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Adverse Effects.

    The Literature Club is full of cute girls! Will you write the way into their heart? This game is not suitable for children or those who are easily disturbed.

    2017IndieFree To PlayCasualFreeDeck PlayableSteam ↗
  2. Life is Strange - Episode 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Episode 1 now FREE! Life is Strange is an award-winning and critically acclaimed episodic adventure game that allows the player to rewind time and affect the past, present and future.

    2015ActionAdventureFreeDeck PlayableSteam ↗
  3. Helltaker

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Helltaker is a short game about sharply dressed demon girls.

    2020IndieAdventureFree To PlayFreeDeck PlayableSteam ↗
  4. Bongo Cat

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Bongo cat needs your help. Bongo cat needz more hatz!!! Every time you press a key, Bongo cat will punch your taskbar. Type, click, play, work to collect more points. Which hats will you find?

    2025IndieSimulationMassively MultiplayerFreeDeck PlayableSteam ↗
  5. The Murder of Sonic the Hedgehog

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Adverse Effects.

    Sonic the Hedgehog...was murdered!? Get to the bottom of the mystery in this brand-new adventure!

    2023IndieSimulationFree To PlayFreeDeck PlayableSteam ↗
  6. Indigo Park: Chapter 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Explore the abandoned childhood wonder of Indigo Park! Guided by Rambley the Raccoon, help restore power to the destroyed amusement park while you run from the reason it shut down.

    2024ActionIndieAdventureFreeDeck PlayableSteam ↗
  7. Our Life: Beginnings & Always

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Adverse Effects.

    A twenty-dollar bill, four summers, fifteen years, and a one of a kind life. Create an experience that’s all your own in this near-fully customizable visual novel where you grow from childhood to adulthood with the lonely boy next door.

    2020IndieFree To PlayCasualFreeSteam ↗
  8. Counter-Strike:Global Offensive

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Counter-Strike:Global Offensive (CS:GO) expands upon the team-based action gameplay that it pioneered when it was launched over 2 decades ago. CS:GO features new maps, characters, weapons, and game modes, and delivers updated versions of the classic CS content (de_dust2, etc.).

    2012ActionFree To PlayFreeDeck PlayableSteam ↗

More from CellStudios

Other recommendable Steam games by CellStudios, ranked by review count so the studio's hits land first.

  1. The Cabin - Summer Vacation

    WHY THIS

    Shares choice driven narrative, character customization and a dark mood with Adverse Effects.

    Another title from CellStudios, the studio behind Adverse Effects. Shares Casual with Adverse Effects.

    When your summer plans take a sharp detour, and you find yourself out in the middle of the wood, you'll soon learn this will be summer you'll never forget. Filled with adventure, love, fear and danger; your choices could be the difference between life and death out here, at The Cabin.

    2022ActionIndieAdventure5.99 USDSteam ↗
  2. Emi - New Beginning

    WHY THIS

    Another title from CellStudios, the studio behind Adverse Effects.

    The shy and demure Emi has been away at college for four years. She's returned and has asked to stay with you while she gets on her own feet. See the transformation that she has undergone these past years, and rediscover your relationship alongside her newfound confidence and passion.

    2022ActionIndieAdventure1.99 USDSteam ↗
  3. Emi - Christmas Special

    WHY THIS

    Another title from CellStudios, the studio behind Adverse Effects. Shares Casual with Adverse Effects.

    Emi and our Protagonist find themselves on the naughty list this year! Follow their holiday escapades as they earn their way back into Santa's good graces.

    2024Casual1.99 USDSteam ↗
  4. Emi - Long Road Home

    WHY THIS

    Another title from CellStudios, the studio behind Adverse Effects. Shares Casual with Adverse Effects.

    The story of Emi continues as she takes the Long Road Home back to The Cabin, where she'll face the consequences of New Beginnings. What will the road hold? Only time will tell.

    2025AdventureCasual1.99 USDSteam ↗

Frequently asked about Adverse Effects

Does Adverse Effects work on Steam Deck?
Adverse Effects is currently rated Unsupported on Steam Deck. It may not launch or may have significant issues that block normal play.
How much does Adverse Effects cost?
Adverse Effects is listed on Steam at 4.99 USD (current store price; Steam sales may reduce this temporarily).
What games are most similar to Adverse Effects?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Adverse Effects are Emi - Christmas Special, 记得我, Picture Perfect.
Who developed Adverse Effects?
Adverse Effects was developed by CellStudios.

imho.run ranks Steam game alternatives using a mix of collaborative filtering (ALS / iALS / EASE / LightGCN), content scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted vibes mined from review text. The page above is generated in seed mode anchored on Adverse Effects.

For library-aware picks tuned to your specific taste, sign in with Steam on the home page.

35 Games Like Adverse Effects — Ranked for 2026 · imho.run