July 15, 2025
The Making of Pill Roulette
Discover the dark development process behind our twisted game and the horrifying inspiration behind the concept.
278| Read MorePill Roulette Game - Free Online Roulette Experience
Play the thrilling Pill Roulette game online for free. Spin the wheel, take your pills, and test your luck against unpredictable side effects in this exciting browser-based roulette game!
Play NowPill Roulette
Spin the wheel and test your luck!
Game Information
Pill Roulette is a thrilling free online game where players spin the wheel and experience various pill side effects. This exciting roulette-style game tests your luck with unpredictable outcomes. How long can you last in the Pill Roulette game before encountering dangerous side effects?
Horror
Chance
Browser Game
Single Player
Gameplay Videos
Similar Games
Shotgun Roulette
A high-stakes roulette game with a shotgun
Action
Play Now
Russian Roulette Simulator
A realistic simulation of the classic game
Simulation
Play Now
Madness Roulette: April Fool's Day
A twisted, horrifying version for April Fool's Day
Horror
Play Now
Doom Roulette
A dark, apocalyptic roulette experience
Horror
Play Now
Horror Roulette
A terrifying roulette game with jump scares
Horror
Play Now
Mafia Roulette
A deadly roulette game with a mafia theme
Strategy
Play Now
Latest Blog Posts
July 8, 2025
Top 5 Strategies for Pill Roulette
Learn expert tips and strategies to survive longer and avoid deadly side effects.
299| Read MoreFrequently Asked Questions
How do I play Pill Roulette?
Pill Roulette is simple to play! Click the "Spin" button to randomize your pill selection. Each pill has different effects - some twisted, some deadly. Your goal is to survive as long as possible without getting a fatal side effect.
Is Pill Roulette free to play?
Yes! Pill Roulette is completely free to play with no hidden costs or in-game purchases. Simply load the game and start your terrifying journey immediately.
Do I need to download anything to play?
No downloads required! Pill Roulette is a browser-based nightmare that runs directly in your web browser. It works on both desktop and mobile devices.
Is there a multiplayer mode?
Currently, Pill Roulette is a single-player nightmare only. We're working on adding multiplayer features where you can watch your friends suffer terrible fates!
How can I report a bug or suggest a feature?
We welcome your feedback! You can report bugs or suggest new horrors by sending an email to support@pillroulette.com if you dare.