In 'Thoughts Unhinged', players assume the role of Aria, a once-prominent psychologist who begins to experience her patients' traumas and memories as vivid hallucinations after inheriting a mysterious therapy journal. As Aria unravels the lines between her own psyche and those of her patients, she must confront a splintered reality filled with unreliable memories, fear-driven choices, and moral dilemmas. Each decision shapes not just the outcome of her patients’ lives but her own crumbling sanity, leading to multiple endings where truth is subjective and the stakes are unfathomably personal.