Over the Counter

Pharmaceutical management simulation where staying in business tests your ethics

Brody Rampono · Released Feb 12, 2022

Reviews: Very Positive; 92% of 467
Recent reviews: Not enough recent
Players: 0; daily peak, Oct 28, 2026
Steam Deck: Untested
Last update on Steam: 4 years ago; Dec 30, 2021
Minimum PC: HD 5500; 1 GB RAM · 0.1 GB disk; Full requirements

What is Over the Counter?

You try to keep a pharmaceutical company in business for twenty years in an isometric management simulation. Hire scientists to research treatments, organize factory production, track news to anticipate disease trends, and launch campaigns to increase demand. Lawyers can defend the company's unethical actions.

For you if...

+you enjoy strategy focused on resource allocation

Not for you if...

−you want to manage a company with friends

What players say

92% of 467 reviews are positive

Players praise how financial pressure encourages unethical decisions, reinforcing the game's critique of the pharmaceutical industry. Common complaints concern punishing difficulty and randomness that can make or break a run.

Screenshots and trailer

Over the Counter system requirements

Minimum: HD 5500, 1 GB RAM, 0.1 GB of disk space.

As published by the developer.

Can my PC run Over the Counter?

Tell us your graphics card once and every game page will answer this for you.

Set up my PC →

Minimum

OS: Windows 10
Processor: 2.20GHz Core i5
Graphics: Intel HD Graphics 5500
Memory: 1 GB RAM
Storage: 100 MB available space

Does Over the Counter have co-op or multiplayer?

No: single-player only, no multiplayer modes declared.

Single-player

Does Over the Counter run on Steam Deck?

Untested Not yet tested by Valve on Steam Deck.

PC version details

DRM: None declared on Steam
Controller: Keyboard and mouse
Platforms: Windows, macOS, Linux
Steam features: Family Sharing
Languages: Text only: English.

Does Over the Counter use AI-generated content?

No AI-generated content is disclosed on the game's Steam page.

Self-reported by the developer under Steam rules: it covers AI content that ships in the game, not tools used to make it. Steam page checked on Oct 27, 2026. How to filter AI games on Steam