<s>
is	O
a	O
bishōjo-style	O
visual	O
novel	O
by	O
Four	B-Application
Leaf	I-Application
Studios	I-Application
that	O
tells	O
the	O
story	O
of	O
a	O
young	O
man	O
and	O
five	O
young	O
women	O
living	O
with	O
varying	O
disabilities	O
.	O
</s>
<s>
The	O
game	O
uses	O
a	O
traditional	O
text	O
and	O
sprite-based	O
visual	O
novel	O
model	O
with	O
an	O
ADV-style	O
text	O
box	O
running	O
on	O
the	O
Ren'Py	B-Language
visual	O
novel	O
engine	O
.	O
</s>
<s>
The	O
player	O
takes	O
the	O
role	O
of	O
Hisao	O
Nakai	O
,	O
an	O
ordinary	O
boy	O
whose	O
life	O
changes	O
dramatically	O
after	O
a	O
heart	O
attack	O
caused	O
by	O
his	O
long-dormant	O
cardiac	B-Application
arrhythmia	I-Application
.	O
</s>
<s>
The	O
gameplay	O
of	O
Katawa	B-Application
Shoujo	I-Application
is	O
choice-based	O
,	O
in	O
which	O
the	O
player	O
reads	O
through	O
text	O
and	O
occasionally	O
has	O
the	O
chance	O
to	O
respond	O
to	O
prompts	O
with	O
a	O
variety	O
of	O
preset	O
responses	O
.	O
</s>
<s>
The	O
group	O
took	O
the	O
name	O
Four	B-Application
Leaf	I-Application
Studios	I-Application
(	O
based	O
on	O
4chan	O
's	O
four-leaf	O
clover	O
logo	O
)	O
.	O
</s>
<s>
On	O
April	O
1	O
,	O
2015	O
,	O
in	O
lieu	O
of	O
their	O
traditional	O
April	O
Fools	O
 '	O
Day	O
prank	O
,	O
Four	B-Application
Leaf	I-Application
Studios	I-Application
released	O
the	O
Japanese	O
translation	O
.	O
</s>
<s>
On	O
June	O
6	O
,	O
2015	O
,	O
Four	B-Application
Leaf	I-Application
Studios	I-Application
announced	O
the	O
end	O
of	O
support	O
and	O
development	O
for	O
the	O
visual	O
novel	O
and	O
official	O
translation	O
projects	O
,	O
concluding	O
with	O
a	O
final	O
bug/typo	O
patch	O
.	O
</s>
<s>
Following	O
the	O
release	O
of	O
the	O
full	O
game	O
,	O
Four	B-Application
Leaf	I-Application
Studios	I-Application
announced	O
that	O
it	O
had	O
no	O
plans	O
for	O
its	O
members	O
to	O
collaborate	O
on	O
any	O
new	O
projects	O
.	O
</s>
<s>
Downloads	O
for	O
the	O
complete	O
novel	O
and	O
Act	O
1	O
alone	O
are	O
available	O
for	O
Windows	B-Application
,	O
Mac	B-Operating_System
OSX	I-Operating_System
,	O
and	O
x86	O
Linux	B-Application
,	O
available	O
both	O
as	O
direct	O
downloads	O
from	O
the	O
official	O
Katawa	B-Application
Shoujo	I-Application
website	O
and	O
over	O
Bittorrent	B-Protocol
.	O
</s>
<s>
Hisao	O
is	O
a	O
brown-haired	O
male	O
high	O
school	O
student	O
diagnosed	O
with	O
chronic	O
cardiac	B-Application
arrhythmia	I-Application
and	O
congenital	O
heart	O
muscle	O
deficiency	O
.	O
</s>
<s>
Iwanako	B-Application
was	O
Hisao	O
's	O
mutual	O
love	O
interest	O
at	O
his	O
old	O
school	O
.	O
</s>
<s>
During	O
the	O
prologue	O
,	O
Iwanako	B-Application
frequently	O
visits	O
Hisao	O
,	O
but	O
his	O
cold	O
demeanor	O
while	O
struggling	O
to	O
cope	O
with	O
his	O
situation	O
drives	O
them	O
apart	O
and	O
she	O
stops	O
visiting	O
after	O
six	O
weeks	O
,	O
with	O
Hisao	O
never	O
responding	O
to	O
her	O
confession	O
.	O
</s>
<s>
In	O
the	O
only	O
event	O
consistent	O
across	O
all	O
five	O
routes	O
,	O
Iwanako	B-Application
later	O
sends	O
Hisao	O
a	O
letter	O
describing	O
her	O
situation	O
and	O
hoping	O
he	O
is	O
doing	O
well	O
;	O
she	O
says	O
in	O
the	O
letter	O
that	O
it	O
may	O
be	O
better	O
if	O
they	O
stopped	O
talking	O
,	O
but	O
is	O
open	O
to	O
a	O
continual	O
friendship	O
.	O
</s>
<s>
Hisao	O
Nakai	O
,	O
a	O
high	O
school	O
student	O
,	O
is	O
confessed	O
to	O
by	O
his	O
classmate	O
Iwanako	B-Application
.	O
</s>
<s>
Though	O
Hisao	O
survives	O
,	O
he	O
is	O
soon	O
diagnosed	O
with	O
arrhythmia	B-Application
and	O
remains	O
in	O
the	O
hospital	O
for	O
four	O
months	O
.	O
</s>
<s>
During	O
this	O
time	O
,	O
the	O
player	O
can	O
bring	O
up	O
Iwanako	B-Application
’s	O
situation	O
;	O
refusing	O
to	O
do	O
so	O
automatically	O
results	O
in	O
the	O
neutral	O
ending	O
.	O
</s>
<s>
Alternatively	O
,	O
the	O
good	O
ending	O
occurs	O
if	O
Hisao	O
told	O
Lilly	O
about	O
Iwanako	B-Application
and	O
other	O
choices	O
:	O
Hisao	O
becomes	O
determined	O
to	O
talk	O
to	O
Lilly	O
one	O
final	O
time	O
,	O
taking	O
a	O
taxi	O
first	O
to	O
Shizune	O
’s	O
home	O
and	O
then	O
,	O
after	O
being	O
directed	O
by	O
Hideaki	O
,	O
to	O
the	O
airport	O
.	O
</s>
<s>
In	O
this	O
route	O
,	O
Hisao	O
helps	O
Rin	O
and	O
Emi	O
paint	O
a	O
mural	O
for	O
the	O
festival	O
and	O
expresses	O
interest	O
in	O
joining	O
the	O
art	O
club	O
to	O
its	O
supervising	O
teacher	O
,	O
Shinichi	B-Application
Nomiya	I-Application
.	O
</s>
<s>
Katawa	B-Application
Shoujo	I-Application
received	O
generally	O
favorable	O
critical	O
reception	O
.	O
</s>
<s>
The	O
game	O
's	O
sensitive	O
handling	O
of	O
its	O
eroge	B-Application
elements	O
,	O
instances	O
of	O
soft	O
core	O
erotic	O
imagery	O
on	O
the	O
relevant	O
forks	O
which	O
were	O
integral	O
to	O
its	O
narratives	O
,	O
was	O
also	O
praised	O
(	O
it	O
was	O
also	O
noted	O
that	O
as	O
"	O
adult	O
content	O
"	O
is	O
removed	O
the	O
game	O
can	O
be	O
played	O
with	O
these	O
scenes	O
replaced	O
,	O
without	O
the	O
cost	O
of	O
losing	O
much	O
characterization	O
and	O
plot	O
development	O
)	O
.	O
</s>
<s>
The	O
game	O
's	O
soundtrack	O
,	O
entitled	O
Katawa	B-Application
Shoujo	I-Application
Enigmatic	O
Box	O
of	O
Sound	O
,	O
was	O
released	O
for	O
download	O
on	O
January	O
20	O
,	O
2012	O
.	O
</s>
