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Utsuge is the Japanese portmanteau for "depressing game". As the name implies, these games' goal is to make the player cry. Most of them are of the Visual Novel variety, in which the player is guided through an increasingly (melo)dramatic story.

Games of this type contain lots of typical tear-jerking material, with death, mental problems, loneliness and rejection as central themes. A lot of them contain at least one girl with a serious disease, who has to be helped by the player. Downer Endings are very common, when the player fails to achieve this goal.

Utsuges are often populated by Bishoujos and aimed squarely at a Seinen audience. By far the most of them take the form of Dating Sims, where the dramatic material is used to give the on-screen girls more depth and character. In some of those games, the drama actually becomes much more prevalent, overtaking the premise of simply trying to date girls. Most Utsuges, being Dating Sims, also contain quite a bit of the erotic content that comes with the territory.

It is rare to find examples without any erotic content whatsoever, although some H-Games have been re-released without adult material to appeal to a wider audience—usually without suffering any negative consequences for the story or playability. Still, gaming companies generally don't explicitly market their games as Utsuge, instead emphasizing their Dating Sim-nature to appeal to the typically male audience.
Examples: