Players step into the shoes of a snarky, down-on-their-luck heart transplant surgeon who has mysteriously begun receiving hearts from different people, each with a unique personality and backstory. The game unfolds in a series of humorous and dramatic scenarios where the protagonist must interact with both the patients and the hearts—each with distinct quirks and preferences. Players will make choices that affect the lives of the patients, unravel darkly comedic secrets, and even navigate romantic entanglements with the hearts themselves. As the story progresses, the protagonist grapples with moral dilemmas and unearths a conspiracy that involves a shady organ dealership, leading to an irreverent and unexpected climax.