 Selective androgen receptor modulators, SARMs, are not approved by the Food and Drug Administration, FDA, and their use for personal purposes is illegal. Despite this, they are becoming increasingly popular among recreational athletes. Recently, there have been several reports of cases involving drug-induced liver injury, dillie, as well as tendon ruptures, which has raised serious concerns about the safety of recreational SARM users. To address these issues, on November 10, 2022, PubMed, Scopus, Web of Science, and clinicaltrials.gov were searched for studies that reported safety data of SARMs. A multi-tiered screening approach was used, and any study or case report of generally healthy individuals exposed to any SARM was included. In total, 33 studies were included in the review, including 15 case reports or case series and 18 clinical trials. Total patients N equals 2136, exposed to SARM N equals 1447. Among them, there were case reports of dillie, N equals 15, Achilles tendon RU. This article was authored by Jonathan D. Venali, Kevin C. Pack, Holly R. Beverly, and others. We are article.tv, links in the description below.