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 Yamaku High School, a boarding 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.