T Cells Attack and Lymph Node Labyrinth: Genentech's immunity games
T Cells Attack and Lymph Node Labyrinth are two short games, called the Immunotherapy Mini-Games, that Ayogo Health made with Genentech to explain the Cancer-Immunity Cycle. They won silver in the Healthcare category of the 2016 International Serious Play Awards, and Genentech still hosts both.
The science behind the games
The Cancer-Immunity Cycle was described by Chen and Mellman in a 2013 review in the journal Immunity titled Oncology meets immunology: the cancer-immunity cycle. It lays out as a loop the steps by which the immune system recognizes and kills cancer cells, and cancer immunotherapy research uses it as a framework. Cancer cells can disguise themselves as normal cells, and the aim of immunotherapy is to switch the body's own immune response on against them.
Ayogo made each mini-game around a different step of the cycle, aiming to educate players about the science underneath immunotherapy.
The two games
| Game | Player role | What it shows |
|---|---|---|
| T Cells Attack | Reveals hidden cancer cells with an antibody slingshot and calls in T cell reinforcements | The attack by T cells, the seventh step of the cycle |
| Lymph Node Labyrinth | A dendritic cell, the immune system's scout | Antigens passed to T cells, which then leave the lymph nodes for the bloodstream |
How each game plays
T Cells Attack is a shooting-gallery game. Every cell looks healthy at the start, and the player has to decloak the sick ones so that the immune system can attack them. The game can be won: clearing all the cancerous and possibly cancerous cells and leaving only healthy ones ends it in victory at any point on the game clock.
In Lymph Node Labyrinth the player is a dendritic cell. Dendritic cells capture antigens that cancer cells release and present them to T cells, which become activated. The task is to remember the way through the labyrinth, activate T cells and get them out into the bloodstream.
Each game takes a different step of the cycle and turns it into play: T Cells Attack covers the moment T cells attack, and Lymph Node Labyrinth covers the early steps in which antigens are captured and presented to T cells. Each game works alone, and playing both gives a fuller picture. They are described as mainly entertainment, meant to raise awareness of and interest in the science, and not as scientifically accurate models.
At the time of the award the games were optimized for recent Macs and PCs running Chrome, Internet Explorer 10, Firefox or Safari, and for the iPhone 6 and recent iPads, with possible performance problems on older devices.
What is true today
As of November 2026 Genentech hosts both games on its own site. The pages carry the titles T Cells Attack: The epic game of the Cancer-Immunity Cycle and Lymph Node Labyrinth. They are ordinary web pages that load their own game code, and no plug-in is named. The addresses are the same ones that were in use at the time of the award. Genentech also hosts a page titled The Cancer-Immunity Cycle in its stories section.
Questions about the Immunotherapy Mini-Games
Who made T Cells Attack and Lymph Node Labyrinth?
Ayogo Health made them in collaboration with Genentech.
Are the games free?
Both games were described as free in 2016. Genentech's pages for them are still online in November 2026.
Are the games scientifically accurate?
They are not meant to be. They are described as mainly entertainment that raises interest in the science behind the Cancer-Immunity Cycle.
