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MAKE AMERICA SICK AGAIN

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MAKE AMERICA SICK AGAIN

Vivek Panjiyar · Published by Anxious Legion

Content notice: Text and image content may include (but is not limited to) sexual assault, heavy drug and opioid abuse, self-harm, violence, illegal activity, and general immoral behavior.

Last updated 30 Sept 2026

Launch your painkiller, market it, and redefine the future of the pain industry. The leash of America is in new hands—yours! Make it crawl as you wish to form the world's first pharmaceutical republic. God Save America.

Free to PlayComing SoonDJCTQ 18Steam Workshop

Free

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Indie, Simulation, Strategy · More free games

Transform the future of pain relief by launching and marketing your own painkiller. In Make America Sick Again, redefine what it means to be in charge of America’s healthcare.

About this game

Build an opioid empire that expands from the streets to the schools of America.⁣

MAKE AMERICA SICK AGAIN is a plague-like strategy game, meaning a mix of thought-strategy & realistic simulation where you manipulate people using various instruments of programming the society and using democracy as a tool to sell them your opioid, which provides the heavenly relief from every sin.

Lead the board of the newly created opioid by your pharma company to supply it to every household in the United States as per their needs, which you have to create (sometimes). Your final aim is to create a pharma theocracy out of this great nation now called the superstate of America. Inspired by the Great American Opioid Crisis, set from the early 90s to the late 2000s.

Relieve the goddamn pain and establish the rule of pain

Launch a powerful painkiller 100x stronger than any other opioid exhibiting as a mild drug for low to severe pain relief, and supply it to every corner of the nation by using cunning marketing practices & democracy as your way forward to bring a pharmaceutical utopia.

The United States of America is your playground to bring freedom into people's bloodstream; do everything possible before they wake up.

Utilize the label "less than 1% get addicted" viciously, as this is your foremost propaganda tool based on 69 years of scientific research.

Fight democracy to protect your drug from being scrutinized

Maneuver things such as laws into your favor by placing mouthpieces in government offices to control every establishment. If they deny, provide them pain and then cure it with your painkiller.

Even after all your efforts, some small-time attorneys and whistleblowers and investigators who can't live without signaling honesty. You need to carefully tackle them; otherwise, they could become serious troublemakers for your company & drug.

And don't forget to hammer the abusers; they are the culprits

A renounced approach by bringing in 1984's oligarchical rule and the theocratical framework of technofuedalism turned into pharmaceutical theocracy.

From the early 90s till today, the crisis has reported 1M+ deaths from overdose & counting. Many unreported cases are uncountable, and this time, take the responsibilities into your hands.

System Requirements

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Minimum

Minimum:
  • OS: Windows 10 64bit
  • Processor: Intel i3 gen9 2.00 GHz | AMD Ryzen 3 3100 3.9
  • Memory: 8 GB RAM
  • Graphics: Nvidia Geforce Gt 730 Ddr3 4Gb | AMD Radeon RX 6400 4Gb
  • DirectX: Version 11
  • Storage: 2 GB available space

Supported Languages

English, Russian, Simplified Chinese

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