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The following are noted differences between the original Nerve book and the Nerve film adaptation.

Book

Nerve

Film

Poster 1

The round of NERVE that the main characters participate in takes place in Seattle. The round of NERVE that the main characters participate in takes place in New York City; however, Ian and Ty are later revealed to have previously participated in the Seattle round also.
Before the events of the book, Vee accidentally fell asleep in her car with the engine on after a long night of studying, and consequently nearly died from carbon monoxide poisoning. Her parents believed it to be a suicide attempt. Two years before the events of the film, Vee's brother, Mike, died just before he was due to start college.
NERVE Players play to win unique and personalised prizes (such as paid tuition to fashion school for Vee), in addition to earning $20 for every one hundred Watchers they attract. NERVE Players play to win increasing sums of money, which is transferred to their bank accounts online after they complete each dare.
The dares in NERVE are generated by the actual people at the NERVE company. The dares in NERVE are made by the anonymous Watchers of the game.
Sydney introduces Vee to NERVE as she one day aspires to become a Player. Sydney is already a popular Player of NERVE, and convinces Vee to sign up too.
Vee is the make up artist for her school's theatre show. Vee is the school's amateur photographer.
Vee has a crush on fellow student Matthew, an athlete who she spends time with due to their involvement with the school's theatre show. Vee has a crush on fellow student JP, an athlete who she spends time with due to her photography habit.
In the final round, Players are locked in a room as couples (with one exception). In the final round, the three finalists are forced to decide who should live and die in front of a Roman Colosseum style audience of masked Watchers.

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