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

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

Hack and slash/Beat 'em up Indie Arcade Action Comedy Party
Mostly Positive
47 reviews
January 23, 2026
Released 99 days ago
PC (Microsoft Windows)

About

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.

Screenshots

Artwork

Release Dates by Platform

PC (Microsoft Windows) Worldwide
Nov 20, 2025
PC (Microsoft Windows) Worldwide
Jan 23, 2026

Game Info

Developer
Two Horn Unicorn
Publisher
Two Horn Unicorn
Engine
Unreal Engine 5
Game Modes
Single player, Multiplayer, Co-operative
Perspective
Third person
Genres
Hack and slash/Beat 'em up Indie Arcade
Themes
Action Comedy Party

Multiplayer

Online Co-op Yes

Languages

Audio / Voice
Dutch, Chinese (Simplified), English, English (UK), Spanish (Spain), French, Japanese, Russian, Portuguese (Brazil)
Text / Subtitles
Chinese (Simplified), Dutch, English, English (UK), Spanish (Spain), French, Russian, Portuguese (Brazil), Japanese, German

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