FIG. 1.

Examples of screenshots of the game and game flow with player choice points: (A) library scene in which a schoolmate offers to share medication; (B) scene at home where mothers ask players if they are okay, allowing a choice point to share with mothers or not; (C) a texting scene in which player is discussing prescription drug information with a friend (a “fun fact” box pops up after each inaccurate response); (D) one of the “fun fact” boxes that pop up at relevant points in the game; (E) which endings have been unlocked thus far are shown in color with a title; and (F) an example of game flow with player choice points, such that “Alex” offers the player some pain pills and the player chooses how to respond, which determines the game path at each decision point. Every time the player chooses to take pills, a random generator increases the odds of overdose and, potentially, death. Color images are available online.