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

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…

23 January 2026

S.E.M.I.: Side Effects May Include... is an arcade developed by Two Horn Unicorn, released 23 January 2026 on PC (Microsoft Windows).

Verified Sources: IGDB , Steam

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

S.E.M.I.: Side Effects May Include... is an arcade game developed by Two Horn Unicorn and released in 2026. It is available on PC (Microsoft Windows) only. It runs on Unreal Engine 5.

The premise, in the publisher's words

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.
Description from the publisher · source

How it plays

It is played from a third person perspective. Its themes are action, comedy and party. It is a single-player game with no multiplayer component. Available modes: Co-operative, Multiplayer and Single player.

What it launched against

S.E.M.I.: Side Effects May Include... launched on 23 January 2026, within three weeks of Reanimal, Hytale, Cairn and Mewgenics.

Released around the same time: Reanimal, Hytale, Cairn, Mewgenics.

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Quick answers

S.E.M.I.: Side Effects May Include... — frequently asked questions

When did S.E.M.I.: Side Effects May Include... come out?
S.E.M.I.: Side Effects May Include... was released on 23 January 2026 for PC (Microsoft Windows).

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