It does not change much from an adult or a kid. You get drunk, but for kids and teens, it REALLY messes up your growing brain. The law says you should only drink once you are 21, because your brain is fully developed. But it will always hurt your brain, no matter what.
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If there's a legal age in the country you live in, the person that provided the alcohol can get charged if they get caught. If you were the one that chose to drink it, then they might still charge the person that left the beer lying around at your reach.
Some families in drink socially or religiously, although it is still illegal, the government is a lot less likely to get involved with religious or cultural beliefs so you might not get in trouble for that, but note that it is still illegal.
Many different things can happen when you drink alcohol. You can get drunk and make poor decisions, you can pass out, and you can get alcohol poisoning.
when you are under the age of 21 your brain is not fully developed and the alcohol can cause you permanent brain damage. Also you can have liver and other problems.