Image steganography is widely used to protect user privacy and enable covert communication. However, it can also be abused by the adversary as a covert channel to bypass content moderation, disseminate harmful semantics, and even hide malicious instructions in images to elicit dangerous outputs from large models, posing a practical security risk that continues to evolve. To address the lack of a unified and systematic evaluation framework, we propose SADBench, a systematic benchmark that assesses the adversary's ability to inject harmful secrets via steganography and the defender's ability to detect such threats through steganalysis. Crucially, SADBench comprises $4$ core tasks, namely steganography attack capability evaluation, steganalysis defense capability evaluation, efficiency evaluation, and transferability evaluation. It evaluates both image-payload and text-payload steganography across diverse cover distributions, utilizing harmful visual semantics and toxic instructions to simulate malicious attacks. Across a broad set of attacks and detectors, SADBench reveals that (i) INN and autoencoder-based methods demonstrate superior stability compared to other architectures, (ii) in-domain detection is near-perfect and cheaper than generation, (iii) a critical asymmetry exists in transferability where attacks robustly generalize to new distributions while detectors fail to adapt, and (iv) real-world threats persist on social media, where payloads either survive minimal compression or effectively adapt to aggressive compression via simulated training. Overall, SADBench establishes a systematic, reproducible, and extensible framework to quantify risks, paving the way for measurable and security-driven advancements in steganography defense.