<s>
Dys4ia	B-Operating_System
(	O
pronounced	O
dysphoria	O
)	O
is	O
an	O
abstract	O
,	O
autobiographical	O
Adobe	B-Operating_System
Flash	I-Operating_System
video	O
game	O
that	O
Anna	O
Anthropy	O
,	O
also	O
known	O
as	O
Auntie	O
Pixelante	O
,	O
developed	O
to	O
recount	O
her	O
experiences	O
of	O
gender	O
dysphoria	O
and	O
hormone	O
replacement	O
therapy	O
.	O
</s>
<s>
The	O
game	O
was	O
originally	O
published	O
in	O
Newgrounds	B-Operating_System
but	O
was	O
later	O
removed	O
by	O
Anthropy	O
.	O
</s>
<s>
After	O
debuting	O
at	O
a	O
Toronto-based	O
art	O
game	O
convention	O
between	O
21	O
and	O
23	O
February	O
2012	O
,	O
Dys4ia	B-Operating_System
subsequently	O
appeared	O
on	O
the	O
social	O
media	O
website	O
Newgrounds	B-Operating_System
on	O
9	O
March	O
2012	O
,	O
and	O
achieved	O
a	O
First	O
Place	O
'	O
Daily	O
Feature	O
 '	O
.	O
</s>
<s>
Dys4ia	B-Operating_System
received	O
praise	O
from	O
various	O
sources	O
for	O
its	O
ability	O
to	O
communicate	O
a	O
challenging	O
subject	O
.	O
</s>
<s>
The	O
Guardians	O
Will	O
Freeman	O
commented	O
that	O
Dys4ia	B-Operating_System
offered	O
'	O
a	O
touching	O
and	O
witty	O
insight	O
into	O
an	O
experience	O
many	O
may	O
never	O
even	O
consider	O
in	O
detail	O
 '	O
.	O
</s>
<s>
In	O
response	O
to	O
the	O
mechanics	O
of	O
Dys4ia	B-Operating_System
,	O
Freeman	O
suggested	O
that	O
the	O
game	O
'	O
does	O
much	O
to	O
prove	O
the	O
power	O
of	O
games	O
to	O
communicate	O
complex	O
concepts	O
through	O
playful	O
interactions	O
 '	O
.	O
</s>
<s>
Regarding	O
the	O
absent	O
artistic	O
merits	O
of	O
Dys4ia	B-Operating_System
,	O
Smith	O
remarked	O
that	O
the	O
limited	O
visuals	O
were	O
'	O
effective	O
communicators	O
of	O
extreme	O
discomfort	O
 '	O
and	O
that	O
Liz	O
Ryerson	O
's	O
soundtrack	O
to	O
the	O
game	O
deserved	O
special	O
mention	O
due	O
to	O
how	O
well	O
it	O
conveys	O
a	O
sense	O
of	O
listless	O
frustration	O
and	O
extreme	O
discomfort	O
simultaneously	O
.	O
</s>
