The game is licensed under the Creative Commons CC-BY-NC-ND.
The player takes the role of Hisao Nakai, an ordinary boy whose life changes dramatically after a heart attack caused by his long-dormant cardiac arrhythmia.
This can lead to confusion, as visual novels are considered a subgenre of adventure games and are not technically included in the dating sim genre.
While the two genres often share a common visual presentation, dating sims are sometimes considered to be more statistically based than the "choose your own adventure" style of visual novels.
is a bishōjo-style visual novel by Four Leaf Studios that tells the story of a young man and five young women living with varying disabilities.
Nakayama Miho no Tokimeki High School was the first bishōjo game featuring a Japanese idol.For instance, choosing a dialogue expressing joy with a straight face may be the correct choice in a certain situation because it represents a deeper level of emotion and thought on the part of the protagonist.This system allowed the game to simulate a level of complexity resembling actual love relationships, leading to its classification as a dating simulation rather than an adventure game.After a lengthy hospitalization, he is forced to transfer to a school specialized in providing education and healthcare for disabled students.Over the course of the narrative, Hisao has the opportunity to come to grips with his condition and adjust to his new life.