In 'The Reaper's Gamble', players take on the role of a skilled ICU physician who must navigate complex moral dilemmas surrounding the use of Extracorporeal Membrane Oxygenation (ECMO) technology to save patients on the brink of death. As tensions rise between medical ethics and the desire to push the boundaries of life and death, players must make critical decisions that will impact the fates of their patients and challenge the very definition of humanity.