Rouella Kromowidjojo is a genetic anomaly, a living dialysis machine who can cure almost all forms of disease through the process of crosstransfusion. For the next 15 hours, she will connect with her next patient: the mysterious Rei Fukugawa, whose emaciation and jaundice seem to hide something much more fatal.Sloth: Heart to Heart is a short and casual Kinetic Visual Novel geared toward Sci-Fi fans. The game romanticizes the medical practice of exchange transfusion to showcase the side effect of a seemingly normal procedure in a seemingly normal pair of characters. Themes include evolutionary psychology, personal obligation, and intersubjectivity.

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