Despite his initial feelings of alienation and difficulty fitting in, Hisao comes to befriend his new classmates while pursuing a romantic relationship with one of the five girls he has class with. Hisao Nakai, an ordinary teenager living an ordinary life, has it turned upside down when a congenital heart defect forces him to attend a new school after a long stay in the hospital. It's also an eroge, though the explicit content is a small part of the overall game and can be disabled if the player so chooses. Katawa Shoujo ( かたわ少女, translated as 'Cripple Girls') is an English-language Bishoujo Game Visual Novel developed by 4 Leaf Studios using the Ren'Py engine.