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A technique which makes it possible to more precisely evaluate how a chemical substance is efficacious upon a cell aggregate is suggested. An efficacy evaluation method for evaluating a drug efficacy of a chemical substance upon a cell aggregate inside a liquid which is contained in a container comprises: acquiring tomographic images of the cell aggregate which are imaged along cross sections which approximately match with a vertical plane (Step S102); calculating a feature amount of the cell aggregate based on the tomographic images (Step S105); and determining the drug efficacy of the chemical substance based on the calculation result of the feature amount.