Joint analysis of multiply perturbed cells improves statistical power and cost efficiency in Perturb-seq

Perturb-seq measures transcriptomic responses to genetic perturbations at scale, but conventional designs that enrich for one guide RNA per cell remain resource-intensive. Standard analyses discard cells carrying multiple guides, further limiting the usable yield from each experiment. Here, we characterize how incorporating these guide multiplets affects signal recovery, information loss, and cost reduction. At the highest guide burden, cells showed increased stress and suppressed cell-cycle progression. We develop PerturbMatch, a scalable statistical framework to analyze guide multiplets. Among different classes of guide multiplets, doublets and triplets recovered perturbation responses more accurately than higher-order multiplets. Across three 5000-gene Perturb-seq screens with increasing guide loading, per-cell costs decreased by up to 81% while information loss remained within 1.5-fold of the loss observed between technical replicates. In existing genome-wide Perturb-seq data, incorporating previously discarded guide multiplets increased usable cell numbers and improved statistical power. Compared with a singlet holdout set, adding guide multiplets moved signal recovery closer to the theoretical expected reproducibility. Overall, we recommend a design that intentionally includes single-guide cells, guide doublets, and guide triplets to improve cost efficiency while preserving signal recovery.