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Rectal Russian Roulette 

When you're having gut distress and want to pass gass ut afraid it'll turn into something more, it becomes a game of rectal Russian roulette.

(See sharting.)
"My stomach hurt so bad I was afraid to fart, it was like a game of rectal russian roulette!"

Taco Bell Russian Roulette 

The act of consuming a box meal from the formost US Tex Mex chain while under a state of gastrointestinal distress in an attempt to rid yourself of the ailment; with potentialy catastrophic results.
Tim: I have had the stomach flu for 3 days and I am misreable. At this point I am willing to risk it all. Time for some Taco Bell Russian Roulette.

Andy: That sounds like the worst idea ever.

Tim: I will either clean the virus out of my system or you are going to have to plunge my organs through the pipes. I am up for either at this point.

Russian Sex Roulette 

A game that is played by many Japanese high schoolers. A group of teens, with an equal number of boys and girls, gather at a private place. The boys and girls all pair up and have unprotected sex. After all the boys ejaculate, the couples switch partners. This continues until every boy has had sex with every girl (and visa versa). Now because the girls are at different stages in their cycles, some will not get pregnant (they escaped the bullet as in Russian roulette) and some will get pregnant (they got the bullet as in Russian roulette). But unlike the real Russian roulette, for the girls who got the bullet in this game there is a way out. Because, prior to playing, each player is required to put 5000 yen into a pool called "ejaculation insurance". The collected money is then used to pay for the abortions of any pregnancies that result.
Do the Japanese teens who play Russian sex roulette all get tested to make sure they don't have AIDs, or could that be another aspect of the game?

Russian Sex Roulette 

Like Russian Roulette, but instead of a gun with 1 bullet, you have several potential sexual partners, at least one of whom can give you an STD. Choose wisely.
"That party last night was just one big game of Russian Sex Roulette
Russian Sex Roulette by Pquartz February 8, 2018

Russian Train Roulette 

atleast 7 men run a train on a woman. No one can wear condoms. If she becomes pregant, the biological father must marry the woman and raise the child with her. It is highly recommended the woman gives consent. The loser faces a fate worse than regular russian roulette. Side bets are optional, if gambling is legal in your state.

Russian Hooker Roulette 

Group of guys hires a Russian hooker with a cold sore, pass her around the group, and see who catches the mouth herp.
Poor Steve caught the mouth herpes when we played Russian Hooker Roulette a couple weeks ago. He's gone through 3 tubes of Abreva.