
Every one of the girls are disfigured or disabled in some way, and the setting is in a hospital where you're all forced to stay. What makes this game unique is the premise. You have a couple of girls that you can pursue and each of them has an ending.

On paper, this game is much like any other visual novel dating sim. To install Katawa Shoujo, simply run the executable. Katawa Shoujo tackles this with a unique concept. As a result, indie developers need to do something unique in this genre to stand out. It is the product of an international team of amateur developers, and is available free of charge under the Creative Commons BY-NC-ND License.Visual novels are one of the most popular genres for indie developers to make games for, due to there being a fantastic free engine out there that helps people easily make visual novels, as well as the low amount of resources required relative to other genres. Katawa Shoujo contains adult material, and was created using the Ren'Py scripting system. The game uses a traditional text and sprite-based visual novel model with an ADV text box.

The story is told through the perspective of the main character, using a first person narrative. There are five main paths corresponding to the 5 main female characters, each path following the storyline pertaining to that character.

Despite his difficulties, Hisao is able to find friends-and perhaps love, if he plays his cards right. Hisao Nakai, a normal boy living a normal life, has his life turned upside down when a congenital heart defect forces him to move to a new school after a long hospitalization. Katawa Shoujo is a bishoujo-style visual novel set in the fictional Yamaku High School for disabled children, located somewhere in modern Japan.
