SPSTEAMPULSELIVE ANALYTICS
S.E.M.I. – Side Effects May Include...

S.E.M.I. – Side Effects May Include... overview

Two Horn Unicorn | Jan 23, 2026 | game

Released

0players observed · 22 September 2026 - 08:03:03 UTC

ActionIndieSteam Store

  • Latest observed playersNot available
  • SteamPulse tracked peak45
  • Units sold (VGI)7,910
  • Revenue (VGI)$45,980
  • Review score86% positive

S.E.M.I. – Side Effects May Include... dated player observations, monthly player trends, reviews, and game metadata are tracked on SteamPulse.

  • Latest observed playersNot available
  • SteamPulse tracked peak45
  • Units sold (VGI)7,910
  • Revenue (VGI)$45,980
  • Review score86% positive
  • Total reviews112
  • Release dateJan 23, 2026
  • DeveloperTwo Horn Unicorn
  • PublisherTwo Horn Unicorn

Genres: Action, Indie

Company pages: Developer: Two Horn UnicornPublisher: Two Horn Unicorn

Top Steam chartsTop 100 gamesGame directorySteam Store page

Game overview

Overview

S.E.M.I. – Side Effects May Include... comes from Two Horn Unicorn and is published by Two Horn Unicorn. It arrived on Steam on Jan 23, 2026, and it sits naturally among Single-player, Multi-player, Co-op, Online Co-op, Steam Achievements, Full controller support, Custom Volume Controls, and Playable without Timed Input. SteamPulse tracks it across Windows and Steam so readers get a quick useful snapshot, not just a wall of numbers.

Players and reviews

S.E.M.I. – Side Effects May Include...'s latest SteamPulse observation recorded 0 players at 22 September 2026 - 08:03:03 UTC, with a tracked peak near 45. This peak is the highest value in the available SteamPulse record and may not include activity before tracking began. Player reaction is 86% positive across 112 reviews.

Language and system requirements

S.E.M.I. – Side Effects May Include... is available in 9 languages including:

EnglishRussianFrenchGermanSpanish - SpainSimplified ChinesePortuguese - BrazilJapaneseKorean

3 regional rating boards including dejus, steam germany, and igrs

PlatformTypeOSProcessorMemoryGraphicsStorage
WindowsMinimumWindows 10Intel Core i5 series or Ryzen series8 GB RAMGTX 960 or AMD R9 2903 GB available space
WindowsRecommendedWindows 11Intel Core i7 series or Ryzen series8 GB RAMGTX 1660 or RX66003 GB available space

Sales, recommendations, and streams

S.E.M.I. – Side Effects May Include... has sold up to 7,910 units and has recommendation data pending. The estimated VGI revenue is $45,980. On Twitch, 0 streamers are live with around 0 total watchers.

Detailed game overview

S.E.M.I. – Side Effects May Include... overview details

S.E.M.I. – Side Effects May Include... combines live player counts with reviews, pricing, platform support, Store metadata, dated player history, media, recent news, and related games.

Steam Store description

S.E.M.I. is a cooperative online game about escaping from a special clinic. Here, you and up to 3 of your brainless loyal friends play as patients, fighting staff and other patients while stumbling into all sorts of unexpected situations. Brawls, side-effect pills, and brutal platforming will absolutely challenge your clumsy friends’ hands sense of teamwork. Expect obstacles, puzzles, deadly traps, and rooms where a single wrong move can knock out the entire squad. Communicate in voice chat and arrange sabotage help your friends pass through rooms, get out of traps and fight with opponents! In your arsenal: close combat, physics, amazing abilities and ... imagination! Take pills and get abilities : Bipolar force is an invulnerable monster, then a helpless rag! Laser astigmatism — two sights, one laser… Where will he shoot? Stendhal syndrome — are you looking at a painting? Now you're hysterical and destroying everything around you! Alice's syndrome is either tiny or gigantic — have time to adjust! Madness is near! You and your friends can go crazy and start running, jumping and fighting, and your abilities will become uncontrollable. Do you want to take back control? Take the pills :) Locations are randomly generated from rooms with changing gravity, traps, moving walls, and other "pleasant" surprises. After a successful escape, you will receive a medical report: " The patient was stable until he started hitting the guards with a bottle. Diagnosis: Overmotivation " or something worse ! Unlock new costumes and decorations. Let each new escape be more stylish th…

SteamPulse editorial summary

S.E.M.I. – Side Effects May Include... is listed as a game with $7.99. It supports Windows, belongs to Single-player, Multi-player, Co-op, Online Co-op, Steam Achievements, Full controller support, Custom Volume Controls, and Playable without Timed Input, and is associated with Action and Indie. SteamPulse's latest observation records 0 players at 22 September 2026 - 08:03:03 UTC, a tracked peak of 45, and 86% positive reviews.

Overview facts

FieldValue
GameS.E.M.I. – Side Effects May Include...
Steam App ID3957560
Typegame
Release dateJan 23, 2026
DeveloperTwo Horn Unicorn
PublisherTwo Horn Unicorn
Price$7.99
PlatformsWindows
GenresAction, Indie
CategoriesSingle-player, Multi-player, Co-op, Online Co-op, Steam Achievements, Full controller support, Custom Volume Controls, Playable without Timed Input, Stereo Sound, Surround Sound, Family Sharing
Supported languagesEnglish, Russian, French, German, Spanish - Spain, Simplified Chinese, Portuguese - Brazil, Japanese, Korean
WebsiteNot available

Player and review overview

MetricValue
Latest observed players0 · 22 September 2026 - 08:03:03 UTC
SteamPulse tracked peak45
Positive reviews96
Negative reviews16
Total reviews112
Positive percent86%
Review typeVery Positive
RecommendationsNot available
Average playtimeNot available

SteamPulse record freshness

FieldValue
Steam release dateJan 23, 2026
Official Steam feed update (UTC)11 February 2026 - 09:03:30 UTC
SteamPulse last record update (UTC)22 September 2026 - 08:03:03 UTC
Live player count updated (UTC)22 September 2026 - 08:03:03 UTC
Store metadata updated (UTC)22 September 2026 - 08:03:03 UTC

Highlighted achievements

AchievementDescription
First Dose of RealityNo description
In-Depth DiagnosisNo description
On the Verge of DischargeNo description
Golden Medical HistoryNo description
First DiagnosisNo description
Five Shades of MadnessNo description
Certified LunaticNo description
Twenty Reasons for TherapyNo description
Complete Encyclopedia of MadnessNo description

Support and legal notes

FieldValue
Support email[email protected]
Support URLNot available
Legal noticeNot available

References

Official and third-party reference links for checking this Steam app outside SteamPulse.

ReferenceLink
SteamPulse canonicalhttps://steampulse.org/game/3957560
Steam Storehttps://store.steampowered.com/app/3957560/
Steam Communityhttps://steamcommunity.com/app/3957560
PCGamingWiki search
IGDB searchSearch IGDB for S.E.M.I. – Side Effects May Include...

Game FAQ

Real questions answered from SteamPulse data, including live players, monthly momentum, review sentiment, regional audience signals, Twitch activity, and current Steam pricing.

What is the latest observed Steam activity for S.E.M.I. – Side Effects May Include...?

S.E.M.I. – Side Effects May Include...'s latest SteamPulse observation records 0 players at 22 September 2026 - 08:03:03 UTC, with a tracked peak of 45 concurrent players in the available SteamPulse record. The tracked peak is the highest value stored by SteamPulse and may not cover activity from before tracking began.

Is S.E.M.I. – Side Effects May Include... growing or declining recently?

September 2026 is still in progress. The month-to-date average is 2 players; the highest observed daily value is 5 players. Available values are provisional and will continue changing until the UTC month closes. The completed comparison month is August 2026.

What country-level audience data is available for S.E.M.I. – Side Effects May Include...?

In the observed sample of public reviewer profiles with a visible country, the leading shares are United States (36.4%), United Kingdom (18.2%), Australia (18.2%). The separate directional player-region model assigns its leading shares to United States (28.3%), United Kingdom (13.8%), Australia (11.7%). The directional follower-region model assigns its leading shares to United States (33.3%), United Kingdom (14%), Australia (12.4%). The directional wishlist-region model assigns its leading shares to United States (25.3%), United Kingdom (10.9%), Australia (9.4%). Only the reviewer view is based on observed public profile countries; the other percentages are modeled relative weights, not verified account locations or country-level user counts.

What does the Steam review footprint look like for S.E.M.I. – Side Effects May Include...?

S.E.M.I. – Side Effects May Include... currently sits at 86% positive across 112 Steam reviews tracked by SteamPulse, including 96 positive reviews and 16 negative reviews. Steam labels the current review summary as Very Positive.

How much follower and Twitch attention does S.E.M.I. – Side Effects May Include... have?

S.E.M.I. – Side Effects May Include... currently has about 1K tracked Steam followers as of 25 January 2026 - 00:00:00 UTC. On Twitch, SteamPulse is matching roughly 0 live viewers across 0 active streams for the game's category.

What is the current Steam price for S.E.M.I. – Side Effects May Include...?

S.E.M.I. – Side Effects May Include... is currently listed at $7.99 on Steam. SteamPulse uses the current store snapshot and historical price records to show whether the page is at full price or in a discounted window.

Reviews, pricing, and metadata

Review summary

Very Positive

86% positive, 96 positive, 16 negative

Price and discount

$7.99

Platforms

Windows

Categories

Single-player, Multi-player, Co-op, Online Co-op, Steam Achievements, Full controller support

Achievements

9

Platform releases
  • Steam 20 November 2025

DLC and packages

S.E.M.I. – Side Effects May Include SoundtrackThis is additional content for S.E.M.I. – Side Effects May Include..., but does not include the base game.music #4259150$1.99S.E.M.I. – Side Effects May Include Christmas SoundtrackThis is additional Christmas content for S.E.M.I. – Side Effects May Include..., but does not include the base game.music #4259160$0.99S.E.M.I. – Side Effects May Include: Digital ArtbookThis content requires the base game S.E.M.I. – Side Effects May Include... on Steam in order to play.dlc #4268070$1.99
S.E.M.I. – Side Effects May IncludeBuy S.E.M.I. – Side Effects May Include... #1389884$7.99

System requirements

Minimum requirements

Minimum: Requires a 64-bit processor and operating system OS: Windows 10 Processor: Intel Core i5 series or Ryzen series Memory: 8 GB RAM Graphics: GTX 960 or AMD R9 290 DirectX: Version 11 Storage: 3 GB available space

Recommended requirements

Recommended: Requires a 64-bit processor and operating system OS: Windows 11 Processor: Intel Core i7 series or Ryzen series Memory: 8 GB RAM Graphics: GTX 1660 or RX6600 DirectX: Version 12 Storage: 3 GB available space

Interactive charts, reviews, news, prices, and comparison tools load in the full SteamPulse app.