In a world where hearts are the currency of emotions, players assume the role of a rogue surgeon named Dr. Quinn, who runs a black-market organ shop in a dystopian city. Players navigate a series of morally ambiguous choices as they interact with a colorful cast of characters—each desperate to trade their emotions for power, affection, or revenge. As Dr. Quinn, players must diagnose the flaws in people's hearts and perform quirky 'emotional surgeries' to fix them, while uncovering the mystery behind the Heart Syndicate, a shadowy organization that wields unimaginable control over the city. With each operation, players will encounter absurd challenges, ethical dilemmas, and darkly humorous dialogue that reflects the eccentricity of this world, leading to multiple endings based on their choices.