Games like SIDE EFFECTS
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.

Top 12 games similar to SIDE EFFECTS
- 1

Buckshot Roulette
Play Russian roulette with a 12-gauge shotgun. Four enter. One leaves. Roll the dice with your life. Good luck!
ActionIndieSimulation - 2

CloverPit
A rogue-lite slot machine nightmare. Gamble for your life in a never-ending debt simulator!
ActionAdventureIndie - 3

Bogos Binted?
Welcome to a sinful night with the galaxy’s wackiest aliens. Play twisted tabletop games with up to 4 players, devise brilliant strategies, bluff your way to victory, and try not to lose your head - literally.
CasualIndieSimulation - 4

Bunny Roulette
Russian roulette horror with 2-4 players, featuring a new card ability system that allows for unique strategy and gameplay. Take a seat at the table. Intense, suspense-filled atmosphere. Russian Roulette reimagined.
ActionIndieSimulation - 5

Boo! Are you scared? The Chests Game
Boo! Are you scared? Don't be afraid, I'm a friend. Play the «Chests» card game for souvenirs with your new friend.
CasualIndieStrategy - 6

ARSONATE
Outwit the HOST in a death game where fire spreads with each flip of a card. Be the last to burn. Do you fear death?
ActionStrategy - 7

Deadly Heart Gambit
You only have 3 months left to live. Gamble for extra time in Alice-sama’s life-or-death game. Be careful — she wants to steal your heart. 🔪🔪🔪💜
IndieStrategy - 8

Bonesaw
Gamble your fingers against the devil and his bloodthirsty saw in this turn-based strategy game. Outsmart your opponent with special abilities, or test your luck as you defy the odds to escape eternal damnation!
IndieStrategy - 9

FINAL SPIN
A 2-4 player online party game about risking your life for the thrill of high-stakes gambling. Use your items wisely to gain an edge over chance and play until you are the last person standing.
CasualIndieStrategy - 10

Spider Roulette
Spider Roulette is a tense online party game where 2-4 friends take turns flipping cups, trying to avoid finding each other's spiders..
CasualIndieStrategy - 11

Inscryption
Inscryption is an inky black card-based odyssey that blends the deckbuilding roguelike, escape-room style puzzles, and psychological horror into a blood-laced smoothie. Darker still are the secrets inscrybed upon the cards...
AdventureIndieStrategy - 12

Buckshot With Friends
Tabletop horror game where you take turns firing a shotgun. The game can be played with friends or a dealer, creating an intense, suspense-filled atmosphere. Russian Roulette reimagined.
Indie
About imho.run
imho.run is a Steam game recommender that combines collaborative filtering (ALS / iALS / EASE / LightGCN) with content-based scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted gameplay vibes from review text. The lists you see here are generated in seed mode — anchored on SIDE EFFECTS— so they answer the question “what plays like this?” rather than “what fits my library?”
For library-aware picks that adapt to your specific taste, sign in with Steam (or paste your Steam ID) on the home page.