Open Heart: Second Year Choices



This page contains the choices in Open Heart: Second Year and their outcomes.

''This game revolves around choices you make, they can improve or decrease relationships with the characters. This walkthrough is made to assist others in helping them make the right choice for their game, good luck and happy playing!''

Choices that have no outcome on the side have not been explored yet, please help this page by contributing those answers!

Setup Choices
Choice 1
 * Import my save now! (Go to Choice 9)
 * Play with default settings. (Go to Choice 2)

Choice 2
 * Woman.
 * Man.

Choice 3
 * Face 1
 * Face 2
 * Face 3
 * Face 4

Choice 4 (Woman)
 * Auburn Waves
 * Brown Curls
 * Black Updo
 * Blonde Layers

Choice 4 (Man)
 * Brown Wavy
 * Black Curly
 * Black Swept
 * Blond Parted

Choice 5
 * Looks great!
 * Let's try that again... (Go back to Choice 2)

Choice 6

This is a fill-in-the-blank choice. Default is "Casey."
 * What's your first name?

Choice 7

This is a fill-in-the-blank choice. Default is "Valentine."
 * And your last name?

Choice 8
 * That's right!
 * No... (Go back to Choice 6)

Choice 9
 * Watch Book 1 recap.
 * Skip recap.

Chapter One: Prognosis Choices
Choice 1
 * The amazing people sitting here with me! (No effect)
 * The ability to make a difference in so many lives! (No effect)
 * The chance to show everyone I'm a badass! (No effect)

Choice 2
 * It's good to have you back, Dr. Ramsey. (No effect)
 * You're too late. Not a rookie anymore. (No effect)

Choice 3
 * Can't wait to be a mentor. (No effect)
 * Think we could use all the doctors we can get. (No effect)
 * Don't have time for dead weight. (No effect)

Choice 4

This is a timed choice. ''If the timer ends, you stare blankly in shock. (No effect)''
 * Get between them! (No effect)
 * Grab him! (No effect)
 * Stay out of it. (No effect)

Choice 5
 * I'm a trained doctor. (No effect)
 * You need help. (No effect)

Choice 6
 * He got what he deserved. (No effect)
 * You have to be careful. (No effect)

Choice 7
 * Stay past last call with Ethan. (💎 12)
 * Explore the city with Bryce. (💎 12)
 * Grab a midnight snack with Jackie. (💎 12)
 * Head home with Sienna and Elijah. (No effect)

Diamond Choice 1 (Ethan)
 * It suits you. (No effect)
 * I liked your sweater more. (No effect)

Diamond Choice 2 (Ethan)
 * It looks good on you. (No effect)
 * Everyone will miss your famous jawline. (No effect)

Ethan's appearance will depend on what you choose in Diamond Choices 1 & 2.

Diamond Choice 3 (Ethan)
 * Whatever you're having. (No effect)
 * Nah, I'm good. (No effect)

Diamond Choice 4 (Ethan)
 * Yeah, you're right. (No effect)
 * We both know that's not true. (No effect)

Diamond Choice 5 (Ethan)
 * Why did you leave? (No effect)
 * Why didn't you keep in touch? (No effect)

Diamond Choice 6 (Ethan)
 * Kiss him. (No effect)
 * Shake his hand. (No effect)

Diamond Choice 1 (Bryce)
 * How has it been with Harper Emery back on the surgical staff? (No effect)
 * Have you gotten to see your family at all? (No effect)

Diamond Choice 2 (Bryce)
 * Take his hand. (No effect)
 * Just keep walking. (No effect)

Diamond Choice 3 (Bryce)
 * Only if you strip first. (Go to Choice 4)
 * You do you. I'm staying dry. (Skip Choice 4)

Diamond Choice 4 (Bryce)
 * Kiss him. (No effect)
 * Tease him. (No effect)

Diamond Choice 1 (Jackie)
 * I want to hear more about your friends.
 * Are you trying to make me jealous?
 * You've never talked about your past before.

Diamond Choice 2 (Jackie)
 * With us?
 * At work?

Diamond Choice 3 (Jackie)
 * I was hoping you'd think that.
 * Good thing we've matured past that.

Choice 8
 * Top Spot (💎 25)
 * No thanks (No effect)

Choice 9 You only get this choice if you intervened in Choice 4.
 * That looks like it hurt. (No effect)
 * Excuse me... (No effect)

Choice 10
 * You're on the diagnostics team? (No effect)
 * I think I'm hallucinating... (No effect)

Choice 11
 * Pleasure to meet you. (No effect)
 * Holy smokes! (No effect)

Choice 12

This is a timed choice. ''If the timer ends, you stay quiet and listen. (No effect)''
 * Try to get a word in. (No effect)
 * Stay quiet and listen. (No effect)

Choice 13
 * Ask Ethan for advice. (💎 18)
 * Pretend you have it under control. (No effect)

Diamond Choice 7
 * How are you sure you made the right diagnosis? (No effect)
 * How can I be more involved next time? (No effect)

Diamond Choice 8
 * June. (No effect)
 * Baz. (No effect)

Diamond Choice 9 Ethan's appearance will depend on what you choose in Diamond Choice 9.
 * They make you look smart. (No effect)
 * They make it harder to see your eyes. (No effect)

Diamond Choice 10
 * Touch his hand. (No effect)
 * Thank him. (No effect)

Chapter Two: The Interns Choices
Choice 1
 * It's nice to meet you. (No effect) (Skip Choice 2)
 * How's your leg? (No effect)
 * Let's stay out of trouble, shall we? (No effect)

Choice 2
 * And I met last night at Donahue's. (No effect)
 * Broke Dr. Thorne's hand after he touched her. (No effect)

Choice 3
 * Be nice. (No effect)
 * Wanna trade? (No effect)

Choice 4
 * Trust her. (No effect)
 * Quiz her. (No effect)
 * Relate to her. (No effect)

Choice 5
 * Bring Esme with me! (💎 16)
 * Skip my diagnostics work to help Esme. (Go to Choice 6)

Diamond Choice 1
 * Watch the patient. (No effect)
 * Listen to the patient. (No effect)

Diamond Choice 2
 * Order more tests immediately. (No effect)
 * Let him rest for now. (No effect)

Diamond Choice 3
 * I need to be. (No effect)
 * I learned from the best. (No effect)
 * Are you kidding? I'm amazing. (No effect)

Choice 6 (Non-diamond)
 * Take charge. (No effect)
 * Walk Esme through this. (No effect)

Choice 7
 * This isn't my problem. (No effect)
 * How did this even happen? (No effect)
 * Quick, we've gotta get this cleaned! (No effect)

Choice 8
 * Take off your shoes! (No effect)
 * Get in a wheelchair! (No effect)
 * Climb on Mitch's back! (No effect)

Choice 9
 * Grab cleaning supplies! (No effect)
 * Cover it up! (No effect)

Choice 10
 * You can't go that way! (No effect)
 * You need to sign Dr. Emery's birthday card! (No effect)

Choice 11
 * When did you first notice that tic? (No effect)
 * Does it hurt when your head moves like that? (No effect)

Choice 12
 * Join Ethan at dinner with the Governor! (💎 18)
 * Get back to work. (No effect)

Diamond Choice 4
 * Just doing my job. (No effect)
 * I hope I made you proud. (No effect)

Diamond Choice 5
 * Anything for Edenbrook! (No effect)
 * Our patients will suffer if our funding goes down. (No effect)
 * Especially if my job's on the chopping block. (No effect)

Diamond Choice 6
 * In our training. (No effect)
 * In our bond. (No effect)
 * In our community. (No effect)

Diamond Choice 7
 * Rest my head on his shoulder. (No effect)
 * Ask if he really believes I'm the future of Edenbrook. (No effect)

Choice 13
 * You're a doctor. How did you screw up bacon? (No effect)
 * Aw, you wanted to surprise us with breakfast! (No effect)

Choice 14
 * You have no idea how much I'd rather be spending time with you guys. (No effect)
 * Luckily I love the work! (No effect)
 * It'll all pay off one day! (No effect)

Choice 15 You only get the third option if you previously romanced Rafael.
 * You two are cute together. (No effect)
 * Is he/she just like you remember? (No effect)
 * Have you told him/her we had a thing? (No effect)

Choice 16 (if you previously romanced Rafael)
 * You don't owe me an explanation. (No effect)
 * It's your loss, anyway. (No effect)

Choice 17
 * Feel the Burn (💎 25)
 * No thanks (No effect)

Diamond Choice 8
 * Stay healthy. (No effect)
 * Be able to handle anything. (No effect)
 * Look good naked. (No effect)

Diamond Choice 9
 * Race them! (No effect)
 * Roll my eyes. (No effect)

Diamond Choice 10
 * Stretch with Ethan. (No effect)
 * Bench press with Bryce. (No effect)
 * Hit the punching bag with Rafael. (No effect)

Choice 18
 * Are you okay? (No effect)
 * Do you want me to leave you alone? (No effect)

Chapter Three: What's Done Is Done Choices
Choice 1
 * That's a relief. (No effect)
 * It's not me I'm worried about. (No effect)

Choice 2
 * You're right. (No effect)
 * That's it?! (No effect)

Choice 3
 * Take his hand. (No effect)
 * Say I'll think about it. (No effect)

Choice 4
 * When you were last sick? (No effect)
 * When you last traveled? (No effect)

Choice 5
 * Hide it. There's no point scaring them. (No effect)
 * Be honest. Better to be straightforward. (No effect)

Choice 6
 * Lay off her, will you? (No effect)
 * I'll handle this. (No effect)
 * I have better things to do than babysit. (No effect)

Choice 7
 * I can't leave you alone for a second, can I? (No effect)
 * I should've been there for you. (No effect)
 * You have to be more careful. (No effect)

Choice 8
 * Can we help you? (No effect)
 * Stay the hell away from our interns. (No effect)

Choice 9
 * Talented. (No effect)
 * Nice. (No effect)
 * Driven. (No effect)

Choice 10
 * Join Ethan for the home visit! (💎 16)
 * Stay behind. (No effect)

Diamond Choice 1
 * Fascinating. (No effect)
 * Voyeuristic. (No effect)

Diamond Choice 2
 * And I appreciate the chance. (No effect)
 * But is that really all this is? (No effect)

Diamond Choice 3
 * Love curling up with a book. (No effect)
 * Lose my mind. (No effect)

Diamond Choice 4
 * Fall onto Ethan! (No effect)
 * Steady myself! (No effect)

Choice 11
 * Awesome! (No effect)
 * A close one! (No effect)

Choice 12
 * She's one of the best doctors at Edenbrook. (No effect)
 * Hi, excuse me, I was also there. (No effect)

Choice 13
 * Look at you, getting recruited off the street! (No effect)
 * You're not thinking of leaving, are you? (No effect)

Choice 14
 * Help Ethan's dad deliver important news! (💎 19)
 * Let him try on his own. (No effect)

Diamond Choice 5
 * Want to be a doctor? (No effect)
 * Act so tough on people? (No effect)

Diamond Choice 6
 * As a child? (No effect)
 * As a teenager? (No effect)

Diamond Choice 7
 * Rest my hand on his. (No effect)
 * Apologize. (No effect)

Choice 15
 * Grab Lamar! (No effect)
 * Distract him! (No effect)
 * Pretend to be 'Alex'. (No effect)

Choice 16
 * Afraid. (No effect)
 * Ashamed. (No effect)

Choice 17
 * Yeah. Let's play. (No effect)
 * I have to tell you all something... (No effect)