Safe to play a game that passes the seizure test?

I've been using charts like this one to show results of testing for adherence to photosensitive epilepsy guidelines.

Until now I’ve posted charts in this format to show whether a game meets photosensitive epilepsy guidelines…

According to a Reddit post, a game that I’ve said “passed the seizure test” triggered a seizure. Recently the same game—Hearthstone—could have been implicated in a professional gamer’s seizure that happened during a live stream. What’s going on?

I write about games I’ve tested to alert readers to the games that don’t meet internationally recognized image safety guidelines. But I don’t want to create undeserved confidence that a game that passed the seizure test will be safe for anyone with photosensitive epilepsy.

Ian Hamilton, a user interface designer who specializes in and advocates for game accessibility, clarifies the role of testing this way:

“Passing the Harding test doesn’t mean that a game is safe. It means ‘reasonably safe’ because common triggers have been avoided. Something that gets a ‘pass’ can still absolutely cause seizures.”

I regularly write that your experience may differ, that I’m not trained in quality assurance, that I test excerpts of game play, and that health and lifestyle variables affect every individual’s vulnerability to seizures at any given time. Still, the meaning of my findings could be misleading without an understanding of the limitations of the seizure test itself:

  1. the pass/fail guidelines aren’t expected to prevent seizures in all individuals
  2. the test was designed for TV images, not video games

What the Pass/Fail guidelines mean

The guidelines originated in 1994, when the UK’s agency for regulating TV broadcasting (now known as Ofcom) inserted into its code of standards some technical guidelines to accommodate viewers with photosensitive epilepsy. These guidelines, based on studies of photosensitive epilepsy and consultation with Prof. Graham Harding and other photosensitive epilepsy experts, detail flash rates and spatial patterns that typically trigger seizures in people with photosensitive epilepsy. Specifications regarding saturated red images were added later, after the 1997 Pokémon incident in Japan.

Some compromises in the guidelines were made for the sake of practicality. Criteria for acceptable images (commonly referred to as the Harding test) were developed with the understanding that they would realistically protect most individuals with photosensitive epilepsy, but not all. For example, the guidelines permit images that flash at a rate of up to 3 times per second because flash at that frequency affects only 3 percent of photosensitive individuals. UK regulators decided that was “an acceptably small risk.”

I'm taking the word "safety" out of the chart since passing the test doesn't guarantee seizure safety

…but I’m updating all the charts by removing the word “safety” since passing the test doesn’t guarantee seizure safety.

The introduction to the guidelines states that their purpose is “reducing the risk of exposure to potentially harmful stimuli.” It also concedes that even when broadcasting images that comply with the guidelines,

“it is…impossible to eliminate the risk of television causing convulsions in viewers with photosensitive epilepsy.”

Applying TV guidelines to video games

There are no formal guidelines for reducing the seizure risk from video games. A 2005 consensus paper by experts on photosensitive seizures acknowledges that additional work would be required first on the existing guidelines for TV. In the meantime, it is reasonable to use the television guidelines since the impact of screen images on the visual system is the same.

The biggest challenge in applying TV specifications to video games is explained in the consensus paper:

“These principles are easier to apply in the case of fixed media (for example, a prerecorded TV show), which can be analyzed frame-by-frame. Interactive media, such as video games, may afford essentially limitless pathways through the game, depending on user actions. Therefore …in the case of video games, the consensus recommendations apply to typical pathways of play but cannot cover every eventuality of play.”**
Also,when players set their own viewing perspectives and preferences in newer video games, they may create unanticipated seizure risks.

Reducing risk going forward

In sum, a game that fails the Harding test is best avoided by those with photosensitive epilepsy. A game that passes is less likely to act as a trigger. Despite all the qualifiers, I believe there’s value in reminding people that seizures can happen to anybody, that certain video games can trigger them, and that you can lessen the risk by selecting games without lots of flash and patterns. Other strategies to lessen the risk of photosensitive seizures can be found here and here.

Tip of the hat to Ian, who suggested that I avoid the word “safe” when describing games that have passed the test. I also will be revising my prior posts to do some rewording.

Gamer’s seizure on live stream

Here’s a reminder that seizures can happen to anyone. A professional gamer known as Lothar had a seizure recently during his live feed while playing Hearthstone on Twitch. Lothar apparently has no history of seizures and the seizure may or may not have any connection to Hearthstone. In updates about his condition and hospital stay, Lothar didn’t mention photosensitive epilepsy nor has he said he’s been advised to limit his gameplay. 

For the record, Lothar is also a body builder—he’s obviously a guy who has enjoyed good health and takes good care of himself. Lothar has a large and caring following and has been receiving lots of well wishes as he recovers. Why do I mention this incident here? Viewing the incident (you can find it on YouTube) and seeing how it affected so many fans who care about him reinforced for me the seriousness of seizures and the importance of preventing those that are preventable.

** Graham Harding et al. (2005), Photic- and Pattern-induced Seizures: Expert Consensus of the Epilepsy Foundation of America Working Group. Epilepsia, 46: 1423–1425.


CNET endorses 7 video games that can trigger seizures

Uncharted: The Nathan Drake Collection is the only one of CNET's recommended games where I didn't find image sequences that can provoke seizures.

Uncharted: The Nathan Drake Collection is the only one of CNET’s recommended games that didn’t fail the seizure test.

Wouldn’t it feel terrible to give someone a present that could set off an epileptic seizure? If you consult the CNET guide to video games for 2015 holiday giving, you’ve got 8 games to choose from–of which 7 contain seizure-inducing images. In the 3+ years that I’ve been testing selected video games for seizure-provoking graphics, this is easily the most lopsided result I’ve found.

The following table shows the games recommended in CNET’s “The best video games to give this holiday season” feature, with results of testing them for image sequences capable of triggering seizures. Testing is done with an application designed for this specific purpose (more info on that is below in the testing methdology section).

Uncharted: The Nathan Drake Collection, Call of Duty: Black Ops 3, Fallout 4, Halo 5: Guardians, Just Cause 3, Super Mario Maker, Star Wars Battlefront, Rise of the Tomb Raider

CNET’s choices for best video games to give this holiday season

Interpreting the results

Passing the seizure guidelines test means that in the 1.5+ hours of gameplay and cutscenes I tested, all image sequences meet well-defined guidelines for reducing visually induced seizures. I am not set up to test every possible sequence (video game developers should be able to do this, though). To get a “fail” on my tests, all that’s needed is one violation of the guidelines, which could occur within the space of a second or two. Again, since I do not test every possible sequence, it’s very possible–and likely–that the game also has other problem images that I didn’t test.

Your results may be different. Each person’s seizure threshold can be affected by a number of factors apart from the visual stimulus itself: illness, hunger, stress, fatigue, alcohol, medications, length of play, and others. So a game played without incident may trigger a seizure in the same player under different conditions. Also, players can be exposed to new and different image sequences in subsequent games.

CNET selected conventional action/adventure titles for its gift-giving guide. These games typically have plenty of shooting, explosions, and rapid movements that produce flicker in the seizure-inducing range of more than 3 flashes per second. In contrast, recent video game recommendations from both the New York Times and Los Angeles Times, with less tech-focused audiences, added some unconventional titles to their top picks. It’s worth noting that the less traditional games were less likely to fail the seizure test.

Uncharted: The Nathan Drake Collection–the one game CNET chose that meets the seizure reduction guidelines–is an action/adventure game, too, with some shooting and the occasional explosion, but designed without flickering images or other visual overload.

 Call of Duty Black Ops 3 Fallout 4 Halo 5: Guardian Just Cause Super Mario Maker Star Wars Battlefront Rise of the Tomb Raider

Images in Uncharted: The Nathan Drake Collection show explosions yet stay within seizure prevention guidelines.

Why it matters

Nobody wants to think about the risk of seizures that can be triggered by video games, figuring they’re extremely rare (they aren’t) and that the risk only applies to “people with epilepsy” (not so). Also, people assume that seizures are always of the grand mal type, with loss of consciousness, lots of involuntary movements, etc., so that they would be very obvious events (most seizures are not like this).

If you assume seizures are very obvious, then you also assume you’d hear a lot more about seizures that happen in front of computer screens and consoles. But many seizures are much more subtle, some so subtle that nobody realizes they’re happening. Even in these instances, though, the after-effects may mean impaired functioning for up to several days, or longer, affecting energy, concentration, memory, sleep, and mood. You can read here about how game-induced seizures we couldn’t see affected my daughter.

Vulnerability to seizures from bright flashes and rapid flicker, known as photosensitive epilepsy, is a genetic trait that’s latent in an unknown percentage of the population. This means that there are people with no idea they have this sensitivity to visual stimuli–until they are triggered and experience a noticeable seizure. So these people assume the seizure warnings accompanying video games don’t apply to them, or they just ignore them.

Testing tool and methodology

I run downloaded gameplay clips, cinematic clips, and promotional trailers for each game and submit the sequences to an application called the Harding Flash and Pattern Analyzer. (Graham Harding is one of the world’s leading experts on photosensitive epilepsy.) The FPA is widely used by producers and networks in the UK—including by the BBC—to reduce the risk of seizures from material on broadcast TV. I don’t know how many of the major game developers in this country use the FPA–they keep such information very much to themselves.

The analyzer examines video sequences for very specific and measurable image qualities that researchers have found can trigger seizures:

  • rapidly alternating light and dark images (flash/flicker)
  • certain stripes and geometric patterns with high contrast
  • large areas of very bright (“saturated”) red
  • problem images take up more than one quarter of the total screen area

If the first clip I test of a game fails the seizure guidelines test, I then move on to test the next game. If no guideline violations are found, I typically test at least 4 or 5 additional clips of that game–usually more, if I have a hunch due to the game genre and/or overall look of the sequences that there might be unsafe “footage” that I haven’t yet found. Most image sequences that fail the test do so because of strobe-like flicker.

Games that pass could have seizure-provoking sequences that I was unable to locate. I don’t do this testing while actually playing video games. Instead I work with video clips available online, some of which are official marketing and gameplay trailers; others are cutscenes and gameplay sessions posted by reviewers or fans. I avoid testing any clips of gameplay that were made using modifications to the original game software.

Other games I tested in 2015

This year I’ve tested also tested some other highly praised video games for their seizure risk (plus the games recommended by the New York Times and Los Angeles Times as noted above). Those results are here and here.


LA Times’ best video games of 2015: 4 can trigger seizures–and that’s progress

The mobile game Prune is about cultivating trees. The object is to prune branches in order to let the tree grow around obstacles.

In the game Prune, players help trees grow.

The Los Angeles Times’  list of 10 best video games of 2015 includes 4 with images that could provoke a seizure. While this isn’t great, it’s not as bad a ratio as I typically find. Usually the best of year/best of show lists contain a higher percentage of games with a real seizure risk, so this is actually better than I expected.

The Times reviewer, Todd Martens, noted that this year there was a broader selection of games and they offered a wide range of player experiences and perspectives. And a number of his favorites are refreshingly novel in their imagery.

Martens writes about his choices in an accompanying piece entitled “Games in 2015 were better when they stepped away from the guns.”

“For a medium that for much of the last decade has been overrun with machismo, 2015 in video games represented a year of powerful role reversals. It was time, finally, to put down the guns… At a time, culturally, when mass shootings are part of our daily conversation, the industry’s over-reliance on games with guns is not only no longer fun, it’s exhausting.

The idea of swapping weapons for actual stories should be celebrated in any medium, but in gaming, where guns, bullets and senseless bloody murder have long ruled the day, it felt downright revolutionary.”

So here’s another reason to celebrate the appearance of appealing games that don’t rely on guns: without the widespread shooting, mayhem, and destruction that have dominated in many top-selling games, there are fewer scenes with flicker and flash that can provoke seizures. (It is quite possible, though, to depict such scenes without creating large, rapid, and bright flashes on the screen.)

I tested clips from the Los Angeles Times Top Ten list using an application that detects image sequences that can trigger seizures in vulnerable individuals. If you’re still doing holiday shopping, you might want to consider these results when choosing gifts. Here’s what I got:

Best video games of 2015 chosen by the Los Angeles Times

Disclaimers

Please remember that there are no guarantees your results will match mine and that many variables affect a person’s susceptibility to visually induced seizures. Each person’s seizure threshold can be affected by a number of factors apart from the visual stimulus itself: illness, hunger, stress, fatigue, alcohol, medications, length of play, and others. So a game played without incident may trigger a seizure in the same player under different conditions. Also, players can be exposed to new and different image sequences in subsequent games.

Testing methodology

I run downloaded gameplay clips, cinematic clips, and promotional trailers for each game and submit the sequences to an application called the Harding Flash and Pattern Analyzer. The FPA is widely used by producers and networks in the UK—including by the BBC—to reduce the risk of seizures from material on broadcast TV. I don’t know how many of the major game developers in this country use the FPA–they keep such information very much to themselves.

The analyzer examines video sequences for very specific and measurable image qualities that researchers have found can trigger seizures:

  • rapidly alternating light and dark images (flash/flicker)
  • certain stripes and geometric patterns with high contrast
  • large areas of very bright (“saturated”) red
  • problem images take up more than one quarter of the total screen area

If the first clip I test of a game fails the seizure guidelines test, I then move on to test the next game. If no guidelines violations are found, I typically test at least 4 or 5 additional clips of that game–sometimes more, if I have a hunch due to the game genre and/or overall look of the sequences that there might be problem “footage” that I haven’t yet found.

Games receiving a PASS could have seizure-provoking sequences that I was unable to locate. I don’t do this testing while actually playing video games. Instead I work with video clips available online, some of which are official marketing and gameplay trailers; others are cutscenes and gameplay sessions posted by reviewers or fans. I avoid testing any clips of gameplay that were made using modifications to the original game software.

Other games tested in 2015

I’ve tested additional video games this year for their seizure risk. You can find results herehere, and here.

 


Seizure-inducing images found in 6 video games from NY Times 2015 holiday gift guide

boy opens presentWhen choosing a video game for someone on your holiday gift list (or for yourself), wouldn’t it be good to know whether the game contains images that could trigger a seizure? The seizures caused by certain video game visuals are a health risk that most people don’t stop to consider.

They’re also more common than people realize.

So at this time of year I like to provide some guidance on seizure likelihood in the games you might be thinking of buying. I test the games recommended in holiday gift guides, looking for the types of image sequences that can provoke seizures.

Today I’m reporting on the 10 video games suggested as gifts this year by the New York Times. Take a look at the introduction to the video games section of the guide.

“Buying someone a new video game can be a little like sending a family member on an unexpected foreign trip. It’s a nice gesture, and will surely be appreciated, but it’s awfully hard to know whether you’ve picked the right destination….Here are a few places to consider taking yourself, or your loved ones, on vacation this winter.”

— New York Times 2015 Holiday Gift Guide

There’s no hint in the prose above that the “right destination” could involve more than the entertainment value of the game. The narrative reads as though the worst possible consequence of your buying choice could be a less-than-totally-fun game experience. The “right destination” stakes actually are much higher for some people, since seizures are pretty serious business.

How to know the level of risk

  • There is no practical way for consumers to know in advance whether a given video game contains the types of flashing and pattern movements that can provoke seizures. Games are rated for mature content and violence but not for seizure risk. One obvious clue, sometimes provided by the game studios, is the presence of lots of quick flashes in the promotional trailer.
  • Visually provoked seizures can happen in individuals with no history of seizures.
  • There is no way to know whether an individual might be at risk for visually induced seizures. They may not have encountered the specific visual provocation that leads to a seizure. Or they may have had a seizure while playing, without realizing it.
  • Seizures can be hard to identify–many are very subtle and don’t involved falling down or lots of movement. Even subtle seizures, though, can be followed by significant impairments: difficulties with concentration and disruption of emotional control and sleep patterns.

Which games in the Times gift guide appear to be OK?

Using software that analyzes visual sequences for the types of rapidly flashing images and moving patterns that can produce seizures, I tested the 10 games recommended by the Times buying guideIncidentally, this software is intended for developers, not for folks like you and me–it allows them, should they opt to use it–to deliver a safer consumer product. This chart shows the results:

Minecraft: Story Mode, Splatoon, Sage Solitaire, Her Story, Until Dawn, Super Mario Maker, SOMA, Star Wars: Battlefront, Metal Gear Solid Plan: The Phantom Pain, The Witcher 3: Wild Hunt

Recommended games from the 2015 New York Times holiday gift guide

I’ll get to the details in just a bit of how I do the testing—there is no way I can test anywhere near all the scenes and story lines in a game. I’m not a one-person quality assurance department! Basically, after looking at and submitting multiple clips of a given game to an analysis tool designed for detecting seizure-inducing images, I eventually either find material that poses a seizure risk, or determine that further testing won’t uncover any.

Please remember that there are no guarantees your results will match mine and that many variables affect a person’s susceptibility to visually induced seizures.

Testing methodology 

I run downloaded gameplay clips, cinematic clips, and promotional trailers for each game and submit the sequences to an application called the Harding Flash and Pattern Analyzer. The FPA is widely used by producers and networks in the UK—including by the BBC—to reduce the risk of seizures from material on broadcast TV. I don’t know how many of the major game developers in this country use the FPA–they keep such information very much to themselves.

The analyzer examines video sequences for very specific and measurable image qualities that researchers have found can trigger seizures:

  • rapidly alternating light and dark images (flash/flicker)
  • certain stripes and geometric patterns with high contrast
  • large areas of very bright (“saturated”) red
  • problem images take up more than one quarter of the total screen area

If the first clip I test of a game fails the safety test, I note that and move on to test the next game. If no safety violations are found, I typically test at least 4 or 5 additional clips of that game–sometimes more, if I have a hunch due to the game genre and/or overall look of the sequences that there might be unsafe “footage” that I haven’t yet found.

Games I’ve listed as safe could have seizure-provoking sequences that I was unable to locate. I don’t do this testing while actually playing video games. Instead I work with video clips available online, some of which are official marketing and gameplay trailers; others are cutscenes and gameplay sessions posted by reviewers or fans. I avoid testing any clips of gameplay from modified game software.

Disclaimers

Each person’s seizure threshold can be affected by a number of factors apart from the visual stimulus itself, including illness, hunger, stress, fatigue, alcohol, medications, length of play, and the player’s menstrual cycle, among others. So a game that ordinarily seems OK may trigger a seizure in that same player under different conditions.

Other games tested in 2015

Holiday buying/year-end isn’t the only season for seizure guidelines compliance testing. I’ve tested additional titles this year. You can find results here and here. Also here.


41 percent of Kanye’s videos can make you seize

Kanye West accepts the Video Vanguard Award during the 2015 MTV Video Music Awards on August 30 in Los Angeles. (Photo by Kevin Winter/MTV1415/Getty Images For MTV)

Kanye West accepts the Video Vanguard Award during the 2015 MTV Video Music Awards on August 30 in Los Angeles. (Photo by Kevin Winter/MTV1415/Getty Images For MTV)

Because Kanye West received the Michael Jackson Video Vanguard Award at last weekend’s 2015 MTV Video Music Awards, and because there were seizure risks found with some of his videos, I wanted to know how many of his music videos pose that risk. I wrote previously about a couple of his videos— All of the Lights (2011), and Lost in the World (2012)—that contain seizure-inducing images. Another one I wrote about for its seizure-inducing content, N**as in Paris (2012), was made with Jay-Z.

So in the week since Kanye was recognized for his achievement in music videos, I’ve tested as many of his music videos as I could—46—to determine how many contain flashing/moving image sequences capable of triggering seizures in sensitive individuals. My sample included only videos where Kanye is the primary performer, where he would have had artistic control over the visuals. I didn’t include those made jointly with Jay-Z or if Kanye was a featured guest on a video made by other artists.

41 percent of Kanye’s videos —that’s 19 of 46—could give you a seizure if you are vulnerable to visually induced seizures. OK, but has he stopped releasing videos that can bring on seizures? Did Kanye change his production style after UK-based Epilepsy Action called out the problem videos a few years back? Nope. The two videos I tested from 2015 both failed the seizure guidelines image analysis test.

Here are the results from the Harding Flash and Pattern Analyzer, a tool designed to detect video images that can trigger seizures in people with photosensitive epilepsy. Ironically, the video titled “Flashing Lights” passed the Harding test.

Kanye Table of Videos

“Throughout his career, West has blended musical and visual artistry to powerful effect.” — press release announcing the Video Vanguard Award.


Best games of E3 2015: how many look risky?

RIBBONS-BLUE-1ST-PLACE-ROSETTESGames industry websites and journalists have announced their picks for the best new video games demonstrated at this month’s annual Electronic Entertainment Expo (E3).

That lets me get to work assessing those games for seizure risk, so I can identify which popular titles in the next crop of releases are less likely to trigger seizures. (I suspect I’m one of very few on the planet who tunes in for this purpose to the annual “best-of” video game lists. I want to see if the development studios are doing more to cut down on image sequences that can set off seizures in people with photosensitive epilepsy.)

I tested the winners chosen by Hardcore Gamer in 9 game categories. Five of the winners—including the Best Game of Show winner, Deus Ex: Mankind Divided—contained seizure-provoking flashes and/or patterns.

Here are my results, using the Harding Flash and Pattern Analyzer to check for images likely to trigger seizures in individuals with photosensitive epilepsy. Please remember that there are no guarantees your results will match mine and that many factors affect a person’s susceptibility to visually induced seizures. Also, the seizure safety guidelines are designed to protect most (97 percent) but not all people with photosensitive epilepsy.

 Cuphead NHL 16 Unravel Horizon: Zero Dawn No Man's Sky Street Fighter V Battleborn Need for Speed Deus Ex: Mankind DividedTesting methodology 

I run downloaded gameplay clips, cinematic clips, and promotional trailers for each game and submit the sequences to the Harding Flash and Pattern Analyzer. The FPA is widely used by producers and networks in the UK—including by the BBC—to reduce the seizure risk of all material on broadcast TV.

The analyzer examines video sequences for very specific and measurable image qualities that researchers have found can trigger seizures:

  • rapidly alternating light and dark images (flash/flicker)
  • certain stripes and geometric patterns with high contrast
  • large areas of very bright (“saturated”) red
  • problem images take up more than one quarter of the total screen area

If the first clip I test of a game fails the guidelines compliance test, I note that and move on to test the next game. If no violations are found, I typically test at least 4 or 5 additional clips of that game–sometimes more, if I have a hunch due to the game genre and/or overall look of the sequences that there might be unsafe “footage” that I haven’t yet found.

The image analyzer found Deus Ex: Mankind Divided contained images that can provoke seizures.

The image analyzer found Deus Ex: Mankind Divided contained images flashing at a rate that can provoke seizures.

Disclaimers

Games with a PASS result could have seizure-provoking sequences that I was unable to locate. I don’t do this testing while actually playing these video games. Instead I work with video clips available online, some of which are official marketing and gameplay trailers; others are cutscenes and gameplay sessions posted by reviewers or fans. I avoid clips showing games that have been modified with other software.

Each person’s seizure threshold can be affected by a number of factors apart from the visual stimulus itself, including illness, hunger, stress, fatigue, alcohol, medications, length of play, and the player’s menstrual cycle, among others. So a game that seems OK may trigger a seizure in that same player under different conditions.


Video Game of the Year fails seizure safety guidelines test

game developers choice logoThe Game Developers Choice Game of the Year Award was given yesterday to Middle-earth: Shadow of Mordor, a title containing scenes that can provoke epileptic seizures. The game’s visual sequences violate guidelines for reducing the risk of seizures provoked by flashing and/or other provocative visual stimuli.

Game Developers Choice Awards are voted on by an invitation-only group of leading game creators across the video game industry, and are presented at the annual Game Developers Conference, an event that attracts more than 20,000 attendees. Here are some excerpts from the conference website describing the Game Developers Choice Awards:

  • the premier accolades for peer recognition in the digital games industry
  • innovation and excellence in the art of making games
  • recognize and celebrate the creativity, artistry and technical genius of the finest developers and games created in the last year

You get the idea. Consumer safety and inclusiveness, though, are apparently–no surprise–absent from the selection criteria.

So what?

You may have heard that photosensitive epilepsy, the condition causing vulnerability to visually provoked seizures, is very rare. It’s more common than studies have shown, and many cases go unreported. Seizures can be very subtle events that don’t draw attention, meaning that the individual and anyone with that person may have no idea a seizure has happened. Whether or not a seizure is an obvious event, it can bring on a range of disabling physical and cognitive after-effects as well as mood changes.

Even though video games routinely carry seizure warnings, only some of them contain images that could provoke seizures. Unfortunately, consumers have no way of knowing which games have these images. So I have been testing popular games with an application designed to identify image sequences with a high likelihood of provoking seizures in people with photosensitive epilepsy.

Hearthstone: Heroes of Warcraft is the the only nominee for the Developers Choice Best Game Award that passed the seizure safety test. It's a digital version of a trading cards-based strategy game.

Hearthstone: Heroes of Warcraft, the only Game of the Year Award nominee that passed the seizure safety test, is a digital version of a trading cards-based strategy game.

Contenders for Game of the Year 

The winning game was chosen from a field of five nominees, only one of which–Hearthstone: Heroes of Warcraft (Blizzard)–tested as seizure-safe didn’t fail the seizure detection test in the sequences I tested.***Please note that while my testing didn’t find unsafe sequences in Hearthstone, a Reddit poster had seizures triggered by the game. I’ve previously posted on the other three nominated games that tested as unsafe:

Bayonetta 2 (Platinum Games/Nintendo)
Destiny (Bungie/Activision)
Alien: Isolation (Creative Assembly/Sega)

Testing methodology 

I run downloaded gameplay clips, cinematic clips, and promotional trailers for each game and submitted the sequences to the Harding Flash and Pattern Analyzer. The FPA is widely used by producers and networks in the UK—including by the BBC—to reduce the hazard of seizures from all material on broadcast TV. It examines video sequences for very specific and measurable image qualities that researchers have found can trigger seizures:

  • rapidly alternating light and dark images (flash/flicker)
  • certain stripes and geometric patterns with high contrast
  • large areas of very bright (“saturated”) red
  • problem images take up more than one quarter of the screen

If the first clip I test of a game fails the safety guidelines test, I note that and move on to test the next game. I typically test at least 4 or 5 additional clips of a game if no guidelines violations are found initially. If I have a high level of suspicion due to the game genre and/or overall look of the sequences that there might be unsafe “footage” that I haven’t yet found, I may test a lot more clips.

I work with video clips available online, some of which are official marketing and gameplay trailers; others are cutscenes and gameplay sessions posted by reviewers or fans. I avoid clips showing games that have been modified with other software.

Disclaimers***

Your results could vary. Games that I report to be compliant with seizure reduction guidelines could have seizure-provoking sequences that I was unable to locate. The seizure reduction guidelines are designed to eliminate seizures in 97 percent (not 100) of inividuals with photosensitive epilepsy.

In addition, the seizure threshold of individuals is affected by a number of factors including illness, hunger, stress, fatigue, length of play, and the player’s menstrual cycle, among others. So a game that seems OK for a given individual may trigger a seizure in that same person under different conditions.