Log in with to leave a comment.

Excellent writing, beautiful art, and doesn’t hold back. This reminded me a lot of my first time going to a therapist like this back in ’02. I really like the way you handled the content warning, too!


I just played this game after listening to an interview of you on and I really, really enjoyed both the podcast and this game!

It’s so raw and powerful and I love your art. The first route I took was the happiest one, then I timidly refused to give Arle her prescription and discovered the worsening impact of these decisions on her life. I couldn’t bring myself to refuse to give her the letter at her 3rd appointment though.

As the game greets you with the sentence “You have to decide who is transgender or not”, you realise how much the therapists’ decisions is going to impact the patient’s life.

Also, fuck the mean comments on Steam, your games deserve recognition just as much as you deserve love. <3

Great little game. I love that the experience actually started for me when I went back through the choices and explored the (increasingly terrible) torment that Arle endures. It was heartbreaking but important. Thanks for making this.


Greetings! Is this game the same as Steam ( one or some sort of demo version? Thanks in advance.


Same as steam, just a web version. 


Cool, thanks for quick reply!


I'll write a little more because your game deserves it.

The art is adorable and I'm glad that every scene in the story gets its own unique drawing or animation.

The accompanying animation to this hit me pretty hard.

I really like how this turned out, I think you did a great job making it. Maybe I'll show it to the people in my life to explain to them the harm that the healthcare system is currently putting me through, so they can really understand it, because right now they seem ambivalent, or seem to think that I should be more patient.

As always, thank you for your work. I appreciate all the art that you've made.


Hi, I am currently really overwhelmed with social situations so I've been taking a break from replying to people until I can get stable again. I read your comment though and it meant so much to me that I wanted to reply.

I wanted to be able to explain to people quickly why the healthcare system was so damaging even if it was done poorly. A lot people cannot understand the harm because to them the entire concept of months or years of your life waiting are a thought experiment. To many people I've talked to it's just a puzzle to think about, not something real.

This has been going on for decades now, where therapists get to control the lives of trans people based on policies made in the 60s. There are exceptions like consent based hormone providers but they're mostly in highly liberal places that cost far more to live in. For people who are poor and trapped where they live you can't just leave and go.

I hope one day to make a game that explains this better than I have now but I'm trying to clear the skill gap I need to do it right first. I am really sorry you're struggling in the healthcare system to get things that genuinely do not need to be a struggle to obtain. I hope some day we can have a more just healthcare system for everyone until then, I hope we can both continue to live as best as we can.

I hope you can excuse this reply if it is a mess. I struggle with mental illness and it is difficult for me to do things like this when I'm out of it.

Thank you for the details in your reply, and I hope you can stay strong in spite of all the difficulties that you face. If you ever need a stranger to talk to, you can reach me at if you like, but there's absolutely no pressure to do so, especially since as you said, you're taking a break from replying to people. Still, if you need someone in the future, offer's always open. :)


I honestly can't see through the negative endings of this game, since I think my heart would just shatter into pieces. Congratulations on the compelling writing.

I cannot download this game, yeet

It is buggy in the downloadable form as it is meant for web but if you need a downloadable version I can try to remake the game and make it downloadable. 

Loved the art in this! Only got the good ending. I'm happy for Arle!


That's all that you need really. Also you seem really cool and my life is a mess right now but I like the stuff you seem to be up to.

Also HEX CODE COVEN seems really cool. You seem cool. 

I'm really tired and my brain is fried but I just kind of want to be like idk hi!

(1 edit)

Hello!!! 😁
I think you and your games are cool, too, and I hope you can make more video games for as long as it brings you joy! Brains do be fried sometimes.


I hope so, I have a few games I want to finish before I die. I've been in a bad place lately but I think I'm going to be okay.

It's really cool being part of itch and getting to see others floating around doing really cool stuff and getting to meet them. 

I hope we both keep doing what we love, this space is small and we will probably intersect again. :)


I really enjoyed this game. Naturally I defaulted to giving Arle her letter immediately, which was a quick but sweet ending, but then I replayed in order to see the other outcomes. Very thoughtfully written with some great art and a solid aesthetic sensibility. 


Thank you so much. This is such a good comment like idk it really means a lot to me when people actually like the games I make. T_T 

I have to say, I didn't respect the rules of the game, and I just did what I wanted. Super Happy Arle got what she wanted right away. zero regrets, except for feeling like I didn't respect you work. Sorry. I'm sure the rest is well written, but I don't have the gut to play it right ^^*. But I'm happy with what I did <3, and the way you write the path I chose.

Hi, thank you so much for playing my game. 

I think you played it the right way. Arle doesn't need to suffer and I appreciate that you didn't make her suffer. I feel like if more people were like you then I wouldn't have needed to make a game like this in the first place.

(Also your game Gender Quest is really good!)


This reminds me a lot about my worries and feelings when I was trying to get my own letter so I could start HRT... each session $100, having to sell stuff or ask people for money just so I could afford to go there the next month, over and over. Thank you for making this, and letting other people see what this can do to someone.


Thank you so much for playing and idk saying something kind back. The reaction this game has gotten has been kind of hard on me.

The cost of therapy, laser, and other various things that weren't covered by insurance were really difficult to deal with. Trying to explain that to cis people over and over again was just so draining. I really wanted people to be able to understand.

It sounds weird to people who have never experienced it but selling your possessions to survive can be really upsetting.  

(1 edit) (+1)

The first time I tried to play I bailed because I was uncomfortable with the weight of making decisions that affect someone's life so much, even in the context of a game. I eventually came back and I'm glad I did, this was really thoughtful, well-done, and had a lot of power to it. Thank you for making it.


Thank you so much for writing this. I get a lot of hatemail for having made this game and sometimes it's really hard to keep writing after reading them. Comments like yours really help to make me feel like I can keep trying.


I'm not a good commenter but I just want to say, thank you for creating this game. You can get a lot of hate for making a game that includes LGBT issues, but you still make it until the end. 

Arle sold half of her video games just to get a letter of approval for hormons, showed that she truly serious about the transitioning.


Your comment is actually really good. I'm sorry about not replying sooner, I got a little overwhelmed with comments and needed a break from social media.

I really really appreciate that you get the selling your video games thing. I think it's a really weird part of being poor and nerdy that some people will never experience but it's really painful.

Thank you for creating this. These are experiences I think a lot of people can relate to, and its so important to have cultural touch points like this one to relate to one another through. I did think the game would include more patients, and would like to encourage you to consider gathering more stories and adding them.

The game was originally going to have three patients but they were cut. There was going to be a waiting room effect where you'd see their stories in a sequence and see how various social determinants of health would change your patient's lives.

Unfortunately that created exponential amounts of work and size. I hope once I have a little more skill to revisit the concept and do it justice. 

(1 edit)

Thank You. I think your art style has a lot of character. Your writing is creative and engaging. This looks like it took a lot of work. I hope you enjoy your time making more games as much as I enjoyed playing :)


Thank you! :) 

I cried a lot making this game but it helped me heal a lot. While it's not fun I find it really rewarding to make games.

The message of this game is great, and I personally like the artwork, just wish it escalated more slowly.

Trying to get to know Arle, yet being judged so harshly for it, felt terrible (though not a fraction as terrible as someone in Arle's situation would feel).


One day I hope to make an expanded version of the game concept that explores administrative violence and power over trans people. 

At the time I wanted to at least complete something that could be shared. I hope once I have a bit more experience and skill to revisit the concept and do it right.


Criticism is nice, but please do not dog on this game. Everyone needs to have a starting ground and simple saying its a shitty game doesn't help. Here is some genuine criticism, I do think some of the images are a little blurry and hard to convey. Other than that its a wonderful starting point and an amazing game. :)


Thank you.

It's true that as a person it's really hard to read comments like that and continue to make things. Despite that I plan to keep trying.

That being said I do read every review regardless and think about them, even the ones that say my game is terrible. Ultimately I'm grateful for even those, sometimes the most brutal thing is to just suffer in silence. I'm glad at least that it let them feel something.


I'm routing for you pal! Can't wait to play all your new games >:) 

just remember that criticism is important but rude comments are just people behind a screen


Thank you for writing this game. It makes me feel a little less alone, and I appreciate you writing it in a way that might speak to well-meaning gatekeepers.


this was terrible. and i dont mean it in that "denying trans women hrt is terrible oh nooo dont make me cry owo uwu :(" way, this is genuinely not a good game. the art style is all over the place, the gui is hard to read, the fonts are garish and the story is very binary and linear. if anyone calls me transphobic for not liking this ill go feral


Transphobe 😁


Please don't turn this page into a internet brawl for fun. 

Go protest if you want to fight injustice or do anything productive, otherwise please just chill. 

I don't want my game page to turn into the equivalent of a youtube comments section. 


I know I suck at making games. I'm still learning and starting out and struggling with a lot of shit. 

Everyone has to start somewhere but I read all of the criticism I get and though I don't usually respond but I am trying to improve. It just takes time. 

That being said please don't bait people into internet fights. You can like or dislike whatever you want please chill. 


Hi, I'm a person within the LGBT community interested in majoring in computer science, though I'm still learning. I don't know if I'm exactly the best with constructive criticism, but I'll tell you this about making games...

You've done a good job for someone starting out. I understand that you may think your games aren't that good, and that's okay when you put it into perspective of all the other games that initially come to mind when you think of games. (You may or may not have heard this before, but keep in mind those games usually involve big development teams to create them. Don't let that deter you from game development if that's what interests you since you can still make some pretty cool things regardless.) From what I've seen from other starting creators, they usually wind up create small games considering outside events like the time they have to create them, debugging things, etc., so you're not alone here.

GUI is hard to manage when you want to put it into an interesting and unique style for your game, (although I personally don't think the game's GUI is that hard to read,) and a game's art doesn't necessarily have to be good nor consistent to declare a game a good one. When it comes to games like these, I think it's about getting the point across, especially in terms of story, and while I have to agree that it is, indeed, pretty linear, you still accomplished that and that's what matters. You hit the nail right on the head for what's needed in these types of games.

Regardless, this a nice short game for a starting game creator. It takes a more direct approach at the concept (of gatekeeping), but gets the job done nonetheless. I really enjoyed how you gave glimpses into the patient's personal life in the story to give more of an impact to the player's choices. If I could make a suggestion, music could really help in this game, although I know most twine games don't include music. Music does wonders to story-related games, adding to the atmosphere of the user when playing. Regardless, I hope this was useful, and great job! (By the way, if it helps, I made an account just to comment on this. You did well!)

Hi, I have mental illness so after the attention this game got I ended up getting overwhelmed and hid in a hole for a bit until things calmed down.

The fact that you made an account to post that comment is really really kind. I read your comment and your advice was really useful.

I'm still working on new games. I hope that they will show growth and reflect some of the changes that you advise. If I can I'm going to try to utilize sound in some form in the next game. 

I've gotten some pretty brutal comments offsite so I struggle sometimes with replying but messages like yours really make a difference to me.


5/5 would bail at the warning screen again


I'm glad, I setup the warning screen for that exact reason. 


I live in a state where you talk to a person at planned parenthood, "I want hormones" and get it. :/ Safely. My condolences, and solidarity with those not so lucky, or those who cannot afford healthcare at all. My heart goes out to you.


I don't live in a place like that but I hope one day everyone does live in a place where that is possible.


I was so lucky to get the therapist I did. I lived in a conservative state at the time and I couldn’t find any specific therapists for writing letters, so I just picked one nearby for “anxiety disorders” and they happened to assign me to an extremely supportive therapist. I’m pretty sure he was LGBTQ himself and he never once doubted my desire to transition. When I finally had the appointment approaching for the clinic and needed my letter, I got one from him the same day I asked. I can’t believe how lucky I was sometimes.


obviously saying that because this game just reminded me more of how much I could have had to work for it. Just by the luck of the draw, I ended up fine, but still. My first run I gave the letter immediately because I believed her.


This is a good post and story. Thank you for sharing.

(1 edit) (+10)

Playing evil made me uncomfortable but I knew that I had to see the full story to enjoy this piece of art fully. The "today you did your job" monologue is incredibly chilling and what's worse is that I've been face to face with such "professionals" several times in my life. Be it psychologists, psychiatrists, gender therapists (I believe that's what they are called in English?) or just average doctors. These people have not but a shred of empathy, sympathy nor compassion in them. They may understand their work but they fundamentally do not understand people or feelings. They are cold, sometimes outright hostile, and unfit to do their job. The ones who firmly believe that they are some kind of saviours are infinitely more creepy than the ones who will at least admit that they don't care about people in my opinion. The latter at least appear to be self-aware.


I really appreciate that you get it. I share that experience and I wanted to make a game that explained it in a quick way without having endless debates and explaining. 

I'm really glad you shared your comment here.


This is a very short but nicely playable piece. It reflects well some of the thoughts and feelings that can occur when going through the gatekeeping process of gender care. I would assume that the game is thought-provoking and somewhat eye-opening especially for someone who has never been in the position of the patient themselves. Bonus points for the mind-warping point of view that is presented both in the very beginning and the bad ending, about being a therapist "saviour". There's a reason patients may not return, and it's never a "victory".


I'm glad you got the point in the ending. Some people were confused by how I phrased it and took it literally. 

Thank you for playing the game.

it´s a little hard to give an opinion of this game only with the sources of this game, because i´m not a person who know much about transgender people and i´m looking for some awareness to empathize better with them. So, by this terms, if this is a game about bringing some awareness about gatekeeping, it does his job, i didn't even knew that term before,and even when the player is at the "evil" side, you can be empathic with both sides 

i know i'm not the target of this game
i'm not a creator (yet)
i know i'm not polite with the following opinion, but i didn't like that such a complex problem (such as transphobia, not only gatekeeping) had solutions in only binary options. such a redux works well in specific problems because gives the most probable end to things, but being so optimist about that and being so simple makes me feel that it's far from reality

even with all this, i enjoyed learning about something new. thanks


It's a five - thirty minute game and I get where you are coming from but it's difficult to make a game that short and cover everything.

That being said I hope to one day develop an expanded version that expands on it. Until then I would recommend reading some short essays and books on the topic if you would like more nuance and information. 

For a longer text on the topic I'd recommend:

Normal Life: Administrative Violence, Critical Trans Politics, and the Limits of the Law by Dean Spade.

For a shorter essay I'd recommend: 

Passing and the Managed Achievement of Sex Status in an Intersexed Person (1967)

by Harold Garfinkel

(1 edit) (+4)

It can still be... so disheartening, and sickening even, to remember that there are people who go through so much trouble, and still get denied. As if anyone can tell you who you are, and what is right for your body. If you're struggling, please don't give up. Keep searching, keep reaching out to friends. As a trans woman I can tell you... There's an answer, and you deserve the life you want. <3


You're a kind person. Thank you for playing my game.

(2 edits) (+2)

this taught me how lucky i was that my state had places that offered informed consent services

in another life this could have been me, fighting the system wanting to transition, i already have very little money, ive had to crowd fund my appointments, 

the art and presentation is beautiful and it really really hurts and im glad you made it


Thank you for playing, I hope one day all states are like this. The states that aren't liberal still have a lot of queer people in them and healthcare should not be a matter of states rights but something for everyone.


I hate this. It is a wonderfully crafted game and a very compelling story and i hate saying mean things and i want arle to be happy i will now go cry in the bathroom thank you for making this game. 

please play this game, if the topic makes you uncomfortable, i urge you to step out of your comfort zone,its so insightful and eye opening.

(1 edit) (+1)

I just played the happy ending. more crying. much love. pls play

Thank you for playing. I'm sorry I didn't respond for so long but your comment meant so much to me when I read it.

I hope there will be a day when we can all be okay.

keep up the great work!

(1 edit) (+4)

Having been on the other side of this, this is very hard to play. I know what I'm supposed to do because I remember what I was asked but it's hard to do that. I also know what the right thing to do is but that isn't what I'm supposed to do. At every opportunity it's clear that I have to select the least compassionate and least ethical choice. I don't think I can play this through but thank you for making something about this, I feel like the practice of gatekeeping and the damage it did has almost been forgotten in the trans community. This should at least serve as a good illustration of what it is.

Edit: (spoiler warning) Decided to give in and do the right thing that was never done for me. That was so nice, I'm almost in tears I didn't think it would just end like that.


My wish was that it could have ended like that for me. 

I have also been on that side too and it's had lasting damage for the rest of my life. 

Your story is super important and I hope more stories like this can be shared so that things can continue to change. 

Even if it's painful if other people don't know about a problem nothing can change so your story matters so much.

(Sory for the rambling, I'm trying to mass reply to comments but ugh, your comment really touched me.)

Thanks for your reply, I only got around to reading it now because I rarely log into my account but it meant a lot to me <3


This was really good! And painful, as I know it was intended to be. Gatekeeping is a serious issue and you did well portraying just how horrific it is. I'll make sure to link this to my friends, and maybe it'll help give them a better understanding of the problem.


Thank you for playing my game and maybe even linking it. Sharing my game really helps and keeps what I do from just being screaming into the void.

(1 edit) (+1)

I can't go beyond the first and second day. Which is a compliment about the game, because this hits home.

Glad to see the updated version!


Oh my gosh thank you, for a second I read this and thought that I needed to fix an error in the game. 

The fact you played this and did not hate it means so much to me. 


Oh yeah, I phrased it poorly. I can't bring myself to continue gatekeeping is all. Which I interpret positively cause  like it gets the emotional response I think you were going for.


Nooo it's fine, thank you for even playing the game and commenting.  My goal was to explain ethically why gatekeeping trans people is wrong and I think on some level it worked. 

One day I hope to make a more complex game that explores the role of psychologists and the trans community and how science was built up around gender but my skill level isn't there yet.

But idk that's a bit much to say just idk thank you for commenting on my game and saying something positive about it. I know I'm repeating myself but it means a lot to me.


Free, thought-provoking short interactive narrative where you play as a therapist with control over whether your patient will be able to transition. Best when played through to both extremes. 4/5 stars - excellent.


Thank you for reviewing my games again. I always enjoy seeing your reviews.