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(Not to be confused with the TV series of the same name.)

Open Heart is one of the many Visual Novels from Pixelberry's Choices: Stories You Play collection. A Medical Drama, this story stars you, a new intern at Boston's Edenbrook Hospital, serving under the renowned and demanding Dr. Ethan Ramsey. Can you save your patients' lives?


Contains examples of:

  • Actually, I Am Him: Chapter 9 has Nigel Platt demand to see Dr. Ramsey’s manager when he tells him to stop being a rude jerk. That’s when Ramsey tells him he is the manager.
  • At the Opera Tonight: A premium date with Ethan in Chapter 12 has him take Casey out to the opera for them to get over Mrs. Martinez's death.
  • Baseball Episode: Chapter 5 has Casey and the interns go out to a baseball game where Casey can end up on the kiss cam.
  • Bedsheet Ladder: A premium scene in Chapter 1 with Dr. Ramsey has his patient, Barbara, threatening to do this.
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  • Birth/Death Juxtaposition: Chapter 4 has this with Dolores dying and her son being born.
  • Bi the Way: You can choose your character's gender, as well as whether they pursue the male or female love interests, or both.
  • Busman's Holiday: Chapter 5 has this with the interns responding to an emergency when the pitcher for the Boston Nighthawks collapses on the mound.
  • Cliffhanger: Chapter 15 ends with Casey realizing what's wrong with Dr. Banerji.
  • Color-Coded for Your Convenience: Chapter 14 involves this for triage victims. Green for minor injuries, yellow for injuries that are serious but not life-threatening, red for major life-threatening injuries, and black for patients who are dead or too far gone to save.
  • Content Warning: Chapter 4 opens up with a warning that it covers childbirth and trauma.
  • Death by Childbirth: Dolores Hudson, Dr. Ramsey's first patent when he was an intern, dies giving birth to a son in Chapter 4.
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  • Drink Order: A premium choice with Ramsey in Chapter 2 shows his is scotch neat.
  • Dr. Jerk:
    • Dr. Ethan Ramsey presents himself as a cold and stern mentor figure, but Casey can make him open up with Premium choices.
    • Dr. Aurora Emery treats all her fellow interns with disdain, only displaying an affable front to her patients and superiors.
    • Landry is completely uninterested in his patients on a personal level and tries his best to avoid interacting with them socially.
  • "Friends" Rent Control: A premium choice apartment in Chapter 3 is this, especially with the rent being $10K/month. Casey, Elijah, and Sienna do this by either offering their landlord free cookies from Sienna or pointing out the reality that the tech bros would have enough money for the first month and that venture capitalism is another word for communism.
  • Fun with Acronyms: Nigel Platt, the patient of Chapter 9, is called a PITA, aka pain in the ass.
  • Hollywood New England: The story takes place in Boston, Massachusetts. A premium choice date with Bryce in Chapter 4 is in Somerville. A premium choice date with Rafael has him fly you to Cape Cod.
  • Hospital Hottie: Casey’s first meeting with Jackie and Bryce happens in the lockers, while both of them are still in their underwear.
  • The Intern: The story’s focus is around Casey Valentine (the main character), a medical intern, during their three year residency at Edenbrook Hospital.
  • It's All My Fault: Casey can feel this way about giving Annie antibiotics that she's deathly allergic to.
  • Labcoat of Science and Medicine: The Premium outfit for Casey is a white doctor coat while the standard option is a plain scrub uniform.
  • Local Hangout: Donahue’s is the bar where the residents from Edenbrook go after work; even Dr. Ramsey drinks there frequently.
  • Magical Defibrillator: Subverted as it's played out like a proper one does to get a proper heart rate going instead of just outright reviving Annie. She still needs to be intubated and given epinephrine.
  • Medical Drama: The story as a whole.
  • Nerves of Steel: Casey has choices to have these. In a premium choice with Bryce in Chapter 2, he shows his by nailing the bullseye on the dartboard if Casey chooses to sing an annoying song.
  • Parlor Games: Chapter 13 has the group play Charades with Casey pairing up with Jackie, Sienna or Landry. A premium choice can allow Elijah and Phoebe to get closer.
  • Plot Allergy: Chapter 2 reveals that Annie is allergic to the antibiotics used to treat her.
  • The Reveal: Chapter 14 reveals Landry was the one who tipped off the Martinez family and was the one sabotaging Casey.
  • Sleep Cute: Chapter 6 has this with Sienna and a nurse, Danny, having fell asleep next to each other after the party.
  • Stag Party: A premium date with Bryce in Chapter 8 has Casey and Bryce joining one in an act of spontaneity.
  • Stern Teacher: Dr. Ramsey mixes this with Secret Test. He gives Casey plenty of time to figure out what happened to Annie on their own, instead of just giving the solution. Casey can reprimand him for this or thank him for giving them the chance to learn.
  • Successful Sibling Syndrome: Aurora feels this way about her aunt Dr. Harper Emery, a doctor with almost the same level of renown as Dr. Ethan Ramsey.
  • Symbol Swearing: A premium choice allows Sienna to break up with Wayne in Chapter 14. One of Casey’s options is just a long string of these.
  • Team Pet: Chapter 12 allows you to buy either a pet turtle named Mitch, a chinchilla named Andi, a fennec fox named Furball, or buy all of them.
  • Trainwreck Episode: Chapter 14 involves a subway derailment.
  • Urgent Medical Alert: The very first case for Casey is a woman who suffers a hemothorax in the reception lobby. Some other patients offscreen get this as well. When Annie gets an allergic reaction to the antibiotics, the only doctor around to help is Jackie.
  • Wham Episode:
    • Chapter 7. Casey discovers that Patient X is Dr. Banerji and that he's dying.
    • Chapter 12. Mrs. Martinez is cured of her Rhodes disease with an experimental serum that has a 40% chance to kill her, a chance she'll gladly take than stay cooped up in the hospital. A few days later, she dies in Buenos Aires. Ethan finds out that Dr. Banerji only has a month to live, and Casey is brought before Harper to learn that Mrs. Martinez's family is demanding an autopsy of her and if they discover anything went wrong, they will sue.
  • Writing Around Trademarks: A premium date with Bryce in Chapter 14 has him and Casey playing Barrio Kart. Bryce actually name drops Donkey Kong before the proprietor asks if they want the company to get sued.

Alternative Title(s): Open Heart

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