Step into the shoes of Alley Hartley, a quirky heart transplant coordinator in a futuristic world where hearts can be bought, sold, and swapped. As Alley navigates a bustling, ethically questionable black market of hearts, players engage in heartfelt conversations, make life-altering decisions, and unravel the truths behind the hearts they handle. Each choice affects relationships with donors, recipients, and the enigmatic Doctor Veins, leading to multiple branching storylines and surprising outcomes. Can Alley find her own heart amidst the chaos and save the day, or will she end up heartless?