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

Review · Action · PC

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

Reviewed: 06 Jun 2026

PC

Two Horn Unicorn · 2025

Ludograph rating

A

Recommended

75 /100

06010030BenefitLow riskB 68 · R 17
The Ludograph reading, plotted from the published benefit and risk sub-scores.

Growth (BDS)

68

Risk (RIS)

17

Daily limit

Age guidance

17+

Developmental benefits

B1Cognitive
0.70
B2Social-emotional
0.67
B3Motor
0.65

S.E.M.I. fosters strong teamwork and communication skills as players cooperate to escape a chaotic clinic. It challenges cognitive abilities through problem-solving, strategic thinking, and adapting to unpredictable events and abilities. The game also provides engaging motor skill development through combat and navigating dynamic environments.

Design risks

R1Compulsion-loop pressure
0.23
R2Monetization
0.00
R3Social risk
0.28

The game features high levels of violence and frequent references to drug use as a core mechanic. Its chaotic and unpredictable nature, coupled with the theme of a mental hospital and 'madness,' could be unsettling. While cooperative, the game's design can lead to competitive toxicity among friends, and its variable reward system for abilities may encourage prolonged engagement.

Content (not in risk score)

R4.1Violence Level
1.00
R4.2Sexual Content
0.00
R4.3Language
0.33
R4.4Substance References
1.00
R4.5Fear / Horror
0.67

Content risk is displayed separately and does not affect the time recommendation.

Regulatory design checks · DSAAssessed: meets criteria·GDPR-KAssessed: meets criteria·ODDSAssessed: meets criteria

  • DSA:What Ludograph checks: whether the game's design gives minors the transparency the EU Digital Services Act expects: plain terms, honest defaults, and clear reporting routes.: Estimated from review data. No dark pattern or child-targeting concerns found.
  • GDPR-K:What Ludograph checks: whether age assurance and consent flows are designed for under-16s, in the spirit of GDPR Article 8.: Estimated from review data. No privacy or child-targeting concerns found.
  • ODDS:What Ludograph checks: whether paid random-reward drop rates are disclosed, as required in China, Japan and South Korea.: Estimated from review data. No paid random-reward mechanics found, so drop-rate disclosure requirements do not apply.

These reflect Ludograph's assessment of the game's design practices against each framework's criteria, not a legal compliance determination.

Parents ask…

Is S.E.M.I. – Side Effects May Include... safe for kids?

Ludograph gives S.E.M.I. – Side Effects May Include... a rating of 75/100, recommended for ages 17 and up. It scores well on developmental benefits with manageable risks.

What age is S.E.M.I. – Side Effects May Include... appropriate for?

Ludograph's rubric recommends a minimum age of 17+ for S.E.M.I. – Side Effects May Include..., based on benefits, risks, and content review.

How long should kids play S.E.M.I. – Side Effects May Include...?

We don't publish a daily session budget for S.E.M.I. – Side Effects May Include...: its design-risk score sits in our highest band, where limiting time alone doesn't address the risks. For children we suggest choosing an alternative instead.

What are the main risks of S.E.M.I. – Side Effects May Include...?

The game features high levels of violence and frequent references to drug use as a core mechanic. Its chaotic and unpredictable nature, coupled with the theme of a mental hospital and 'madness,' could be unsettling. While cooperative, the game's design can lead to competitive toxicity among friends, and its variable reward system for abilities may encourage prolonged engagement.