Over the course of the narrative, Hisao has the opportunity to come to grips with his condition and adjust to his new life. After a lengthy hospitalization, he is forced to transfer to a school specialized in providing education and healthcare for students with disabilities.
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. The majority of the story takes place at the boarding school Yamaku High School for disabled students, located in an unnamed city somewhere in modern, northern Japan. The game is licensed under the Creative Commons CC-BY-NC-ND. The game uses a traditional text and sprite-based visual novel model with an ADV-style text box running on the Ren'Py visual novel engine. "Cripple Girls", translated "Disability Girls") 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. Katawa Shoujo ( Japanese: かたわ少女, Hepburn: Katawa Shōjo, lit.