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Games like Side Effects

2025PC, Steam Deck verified83 % positive4.99 €

A horror game that reimagines Russian roulette by swapping the gun and bullets for pills with uncertain effects. Tension comes from weighing risk and pushing your luck.

  • Dread and tension
  • Resources and survival
  • Dark, serious atmosphere
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More in these topics: Horror games

In short: Games like Side Effects

Each of these 10 games shares something of what makes Side Effects special. The reasons are listed right on each game.

Similar in what way?

0 of 3

Up to three areas count more, the rest steps back.

Not for me Exclude horror, turn-based combat, pixel art …

Games where this is clearly part of it are left out, no matter how well the rest fits.

Horror Turn-based combat High difficulty Roguelike runs Shooter Pixel art Grind Survival PvP Open world Card game

10 games with a similar feel, sorted by match · How is this calculated?

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Best match

Buckshot Roulette

91 %Match

2023PC, PlayStation, Xbox, Nintendo Switch95 % positive2.99 €

Brings what grabs you about Side Effects: dread and tension, scarce resources and survival as well as a dark atmosphere.

A minimalist horror game where you play a round of shotgun Russian roulette against a sinister Dealer in a grimy nightclub. Odds, risk management and special items create tense, tactical decisions in short, nerve-wracking runs.

Where to buy

* Affiliate link. Prices are synced regularly and may have changed in the shop since.

Similar games →

The Baby In Yellow

Dread and tension

You babysit a child in an eerie house and must keep it content by feeding, changing and playing with it. Every neglected need raises the tension until the child becomes something you can no longer control.

Five Nights at Freddy's 4

Dread and tension

A minimalist survival horror where you play a child defending your bedroom, doors and closet from animatronics using only sound cues and a flashlight. Precise timing and steady nerves decide whether you last until 6 AM.

Welcome to the Game

Respects your time

A tense first-person horror game in which you hunt for a Red Room on the Deep Web, solving puzzles while staying alert to threats lurking in your apartment.

Five Nights at Freddy's 3

Dread and tension

A horror survival game where you play a night guard in a haunted attraction, juggling cameras, ventilation and audio lures to evade a single animatronic and fend off hallucinations. Tension comes from resource management, jump scares and hidden lore.

Iron Lung

Dread and tension

You pilot a cramped submarine blindly through an ocean of blood on an alien moon, relying on coordinates, maps and photos. Its claustrophobic, oppressive atmosphere makes this short game an intense horror experience.

Five Nights at Freddy's 2

Dread and tension

As a night guard in a pizzeria you watch cameras and survive until morning while a larger, more aggressive set of animatronics hunts you. Jump scares, limited resources and tense timing define it, with scattered lore hints on the side.

The Closing Shift

Respects your time

A short Japanese-style indie horror game in which you play a young woman working a late closing shift as eerie events unfold. Tension comes from atmosphere and mundane routine that gradually turns sinister.

The Ghost Train

Calm and deliberate

The Ghost Train is a horror game that sends you aboard an eerie train full of dread. Its atmosphere and unsettling mood are at the core as you make your way through the journey.

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