In a world where hearts can be literally swapped and traded among people, players assume the role of Jamie, a heartsmith who specializes in creating unique hearts for clients. Each client comes with their own backstory and desires, intertwining their fates. Players must navigate through complex emotional scenarios where choices impact the personality traits and powers of each heart and its wearer. The game explores themes of identity, love, and sacrifice, all wrapped in witty banter and absurd situations. Players can choose to help clients find their true heart or manipulate them into disastrous choices, ultimately leading to multiple endings that reflect the morality of their decisions.