Developed as part of a capstone project at the Exertion Games Lab, we explored the opportunity to facilitate playful experiences via a capsule endoscope device. A capsule endoscope is a pill-like device that digitally records internal images of a patient’s gastrointestinal tract. Existing research mainly focuses on the capsule endoscope’s functional perspective. The design and development helped us study playful interactions with the pill image, as players can perform bodily movements to add various visual effects to the images.