In 'Whose Heart Is It Anyway?', players take on the role of a brilliant but ethically ambiguous cardiac surgeon named Dr. Kayla Voss. After performing a high-stakes transplant, she discovers the heart she implanted belonged to a notorious mob boss. As strange occurrences begin to unfold—visions, emotions, and memories of the mobster invade her mind—Kayla embarks on a journey through the dark underbelly of the city to uncover the truth about the heart's past. Players must navigate ethical dilemmas, forge alliances, and make life-altering decisions that impact the fates of both Kayla and those around her. The story evolves based on the choices players make, leading to multiple dramatic endings that challenge their morality and empathy.