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S.E.M.I.: Side Effects May Include...

Two Horn Unicorn

S.E.M.I.: Side Effects May Include...

S.E.M.I. is a cooperative online game about escaping from a special clinic. Here you and up to 3 of your feeble-minded loyal friends in the role of patients fight with the staff and other patients and find yourself in unexpected situations. Teamwork is essential, as randomized events and experimental drugs will lead your party into unpredictable mayhem. Pop pills with your friends as you cooperate to gain your freedom.

Released
23 January 2026
Developer
Two Horn Unicorn
Publisher
Two Horn Unicorn
Engine
Unreal Engine 5
Controller
Full controller support
Platforms
PC (Microsoft Windows)
Genres
Hack and slash/Beat 'em up · Indie · Arcade
9
Achievements
3
DLC packs

S.E.M.I.: Side Effects May Include...

Quick answers

S.E.M.I.: Side Effects May Include...

The story

S.E.M.I. is a cooperative online game about escaping from a special clinic. Here you and up to 3 of your feeble-minded loyal friends in the role of patients fight with the staff and other patients and find yourself in unexpected situations. Teamwork is essential, as randomized events and experimental drugs will lead your party into unpredictable mayhem. Pop pills with your friends as you cooperate to gain your freedom.

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Screenshots

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Reviews and languages

9 languages in the interface, 0 of them with full voice acting. English is supported.

S.E.M.I.: Side Effects May Include...

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