This is the biggest risk. Sketchy sites (no pun intended) often masquerade as file repositories. You might click a "Download" button only to start downloading a .exe file that injects adware or malware onto your computer. Since medical students often keep sensitive patient data or expensive exam software on their laptops, this is a massive security risk.
Reddit communities like r/medicalschoolanki and r/step1 are the primary hubs for these discussions. Sketchy Pharm Videos Download Reddit
The medical school subreddit community (r/medicalschool, r/step1) is generally supportive of sharing notes and Anki decks , but they draw a hard line at piracy. Moderators often lock or delete threads asking for direct downloads of paid intellectual property to avoid the subreddit getting banned. This is the biggest risk