It's a sleazed up Tabletop Simulator for people who think Russian Roulette is like, so crazy, man. Even the characters are pretty much the kind of stereotypes you'd expect for something like this.
Buckshot Roulette is Russian roulette with a 12-gauge shotgun. Dive into a gritty underworld nightclub. Face off against The Dealer or your friends. Strategically use items to better your odds.