Open Heart: Third Year Choices



This page contains the choices in Open Heart: Third 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 (Completed Book 2)
 * Import now! (Skip to Choice 9)
 * Play without importing. (Go to Choices 2-8)

Choice 1 (Incompleted Book 2)
 * Keep playing. (Go to Choices 2-8)
 * Go to Open Heart 2. (Takes you out of the book and opens the menu for book 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 2 recap.
 * Skip recap.

Choice 10 (Recap)
 * What the hell is that?

Choice 11 (Recap)
 * And check out all those 0s!

Chapter One: Edenbrook 2.0 Choices
Choice 1
 * Exciting! (No effect)
 * Sad. (No effect)
 * Exhausting. (No effect)

Choice 2
 * Is perfect for you! (No effect)
 * Will that be exciting enough? (No effect)
 * Does that mean you'll be working at Edenbrook with us? (No effect)

Choice 3
 * Baz (No effect)
 * Ines (No effect)
 * Ethan (No effect)

Choice 4
 * Good for us! (No effect)
 * Ominous. (No effect)
 * Like a lot to get used to. (No effect)

Choice 5
 * The future is now. (No effect)

Choice 6
 * Bloom must be doing pretty well. (No effect)
 * Goodbye, med school debt! (No effect)
 * Who wants to go in on a yacht with me? (No effect)

Choice 7
 * Hell yes! (💎 12)
 * I should look over my cases. (No effect)

Diamond Choice 1
 * A thing of beauty! (No effect)

Diamond Choice 2
 * An espresso Romano (No effect)
 * A cappuccino (No effect)
 * A hazelnut iced mocha with whipped cream and chocolate drizzle! (No effect)

Diamond Choice 3
 * Bet you can't beat my Turbo Sofia high score! (No effect)
 * I challenge you to a ping pong match! (No effect)

Diamond Choice 4 (Turbo Sofia)
 * Race Elijah to the finish and grab those bonus points! (No effect, but you lose)
 * Take my time to collect point gems! (No effect, but you win)

Diamond Choice 4 (Ping Pong)
 * Serve hard and fast! (No effect, but you lose)
 * Serve it just over the net. (No effect, but you win)

Diamond Choice 5
 * Bryce (No effect)
 * Jackie (No effect)
 * Rafael (No effect)

Diamond Choice 6 (Bryce)
 * I'm the same way. (No effect)
 * Those aren't 'toys,' Bryce. (No effect)
 * I think a massage is pretty hard to beat. (No effect)

Diamond Choice 7 (Bryce)
 * I need a kiss. (No effect)
 * Can you do my feet? (No effect)

Diamond Choice 6 (Jackie)
 * You dreamed of stretching out and getting massaged every day for work? (No effect)
 * What's your favorite part of all this? (No effect)
 * Who cares about helping people when we have on-tap massages! (No effect)

Diamond Choice 7 (Jackie)
 * Making out? (No effect)
 * A nap? (No effect)

Diamond Choice 6 (Rafael)
 * You'll need to practice... on me. (No effect)
 * It's a totally different style of massage. (No effect)

Diamond Choice 7 (Rafael)
 * A kiss. (No effect)
 * A visit to the cappuccino machine. (No effect)

Choice 8
 * Is everything alright? (No effect)
 * Looks like you need a 'new Edenbrook' cappuccino! (No effect)

Choice 9
 * You're always welcome! (No effect)
 * We need to focus on the patient. (No effect)
 * Yes, you're interrupting. (No effect)

Choice 10
 * I vote yes, of course! (No effect)
 * Actually... I vote no. (No effect)
 * I abstain. (No effect)

Choice 11
 * Worry he'll try and interfere? (No effect)
 * Have second thoughts about the case we picked? (No effect)
 * Want to talk about what's bugging you? (No effect)

Choice 12
 * Baz. (No effect)
 * Harper. (No effect)
 * You, Ethan. (No effect)

Choice 13
 * Cancer. (No effect)
 * Cirrhosis. (No effect)
 * Digestive issues. (No effect)

Choice 14
 * Gently. (No effect)
 * Bluntly. (No effect)

Choice 15
 * Also ordering a full-body scan. (No effect)
 * Good for now. (No effect)

Choice 16
 * An apple (No effect)
 * All the junk food (No effect)
 * A bottle of seltzer (No effect)

Choice 17
 * Revamped (💎 25) (No effect)
 * No thanks (No effect)

Diamond Choice 8
 * ...With some sass! (No effect)

Diamond Choice 9
 * So delicate! (No effect)

Diamond Choice 10
 * I'm super excited about it! (No effect)
 * Meh. Just one more work function. (No effect)

Choice 18
 * Cover for Baz. (No effect)
 * Say I can't get a hold of him. (No effect)

Choice 19
 * It's that kind of party... (No effect)

Choice 20
 * Elijah (No effect)
 * Sienna (No effect)
 * Aurora (No effect)

Choice 21
 * That's... legitimately impressive. (No effect)

Choice 22
 * Talk to Jackie. (No effect)
 * Talk to Bryce. (No effect)
 * Talk to Ethan. (No effect)
 * Talk to Rafael. (No effect)

Choice 23 (Jackie)
 * Let's do it! (💎 18)
 * No thanks. (No effect)

Diamond Choice 11 (Jackie)
 * The 'soothing' setting. (No effect)
 * Vigorous. (No effect)

Diamond Choice 12 (Jackie)
 * I'm sold. (No effect)
 * ...Maybe too nice. (No effect)

Diamond Choice 13 (Jackie)
 * Change the settings on the hot tub. (No effect)
 * Kiss her. (Path A)

Diamond Choice 14 (Jackie) (Path A)
 * Pull her onto my lap. (No effect)
 * Let my hands explore underwater. (No effect)

Diamond Choice 15 (Jackie) (Path A)
 * Into some glasses? (No effect)
 * On you. (No effect)
 * On me. (No effect)

Choice 23 (Bryce)
 * Let's do it! (💎 18)
 * No thanks. (No effect)

Diamond Choice 11 (Bryce)
 * The flowers. (No effect)
 * The fountain. (No effect)
 * That view. (No effect)

Diamond Choice 12 (Bryce)
 * And almost all of it for the better. (No effect)
 * I'm worried about what it all means. (No effect)

Diamond Choice 13 (Bryce)
 * Clamping my hand over his mouth. (Path A)
 * Kissing him. (Path B)

Diamond Choice 14 (Bryce) (Path A)
 * Hum along. (No effect)
 * Elbow him. (No effect)

Diamond Choice 14 (Bryce) (Path B)
 * That sounds... kind of hot, actually. (No effect)
 * No way. On-call room, now. (No effect)

Diamond Choice 15 (Bryce) (Path B)
 * Your mouth on me. (No effect)
 * All of you. (No effect)

Choice 23 (Ethan)
 * Let's get out of here! (💎 18)
 * No thanks. (No effect)

Diamond Choice 11 (Ethan)
 * How did you know it was there? (No effect)
 * Should I be worried? (No effect)
 * Got any mixers under the mattress? (No effect)

Diamond Choice 12 (Ethan)
 * What was it like, when you were an intern? (No effect)
 * How are you enjoying the party? (No effect)
 * Are you still anxious about all the changes? (No effect)

Diamond Choice 13 (Ethan)
 * Give me more of that bourbon. (No effect)
 * Kiss me. (Path A)

Diamond Choice 14 (Ethan) (Path A)
 * To make you feel good. (No effect)
 * Your hands on me. (No effect)

Diamond Choice 15 (Ethan) (Path A)
 * Pin you down and have my way with you. (No effect)
 * Let you control me. (No effect)

Choice 23 (Rafael)
 * Lead the way! (💎 18)
 * No thanks. (No effect)

Diamond Choice 11 (Rafael)
 * Try some gymnastics on those double bars! (No effect)
 * Stretch out on that balance ball. (No effect)
 * Hop on that rope swing! (No effect)

Diamond Choice 12 (Rafael)
 * Kiss him. (No effect)
 * Hug him. (No effect)

Diamond Choice 13 (Rafael)
 * We should get back to the party. (No effect)
 * You should give me a massage. (Path Massage A)
 * I want to massage you all over. (Path Massage B)

Diamond Choice 14 (Rafael) (Massage A)
 * A massage... but lower. Much lower. (No effect)
 * You. Now. (No effect)

Diamond Choice 14 (Rafael) (Massage B)
 * To keep massaging you... lower. (No effect)
 * You. Now. (No effect)

Diamond Choice 15 (Rafael) (Massage)
 * Use your hands. (No effect)
 * I want your mouth... on me. (No effect)

Choice 24
 * But I can't take all the credit. (No effect)
 * Next time, hand me a tough one. (No effect)
 * I'm surprised Dr. Emery didn't pick up on it. (No effect)

Chapter Two: More Than Meets The Eye Choices
Choice 1
 * How is everyone doing? (No effect)
 * I'll just say it... I miss Baz. (No effect)
 * Uh... never mind. (No effect)

Choice 2
 * What else should we know about the patient? (No effect)
 * I had that 'flu' once in med school. (No effect)
 * Excuse me, can we focus on the case, please? (No effect)

Choice 3
 * That's seriously impressive! (No effect)
 * I'm guessing there's a trick here. (No effect)
 * ... (No effect)

Choice 4
 * You're right, he's lying. (No effect)
 * He's the real deal. (No effect)
 * He believes he's telling the truth. (No effect)

Choice 5
 * Absolutely! (💎 15)
 * I'd better not... (No effect)

Diamond Choice 1
 * He nailed it. (No effect)
 * You should calm down. (No effect)
 * He should tell us something else. (No effect)

Diamond Choice 2
 * Really interesting! (No effect)
 * Totally plausible. Definitely real stuff there. (No effect)

Diamond Choice 3
 * Jackie. (No effect)
 * Bryce. (No effect)
 * Ethan. (No effect)
 * Rafael. (No effect)

Diamond Choice 4 (Jackie)
 * If there's anyone here she wants to hook up with? (No effect)
 * What her favorite book is? (No effect)

Diamond Choice 4 (Bryce)
 * What does Bryce think about me? (No effect)
 * What's Bryce's favorite exercise? (No effect)

Diamond Choice 4 (Ethan)
 * What does Dr. Ramsey think about me? (No effect)
 * What kind of car does Dr. Ramsey drive? (No effect)

Diamond Choice 4 (Rafael)
 * What does Rafael think about me? (No effect)
 * What is Raf's favorite dessert? (No effect)

Choice 6
 * Are probably some sort of con. (No effect)
 * Might have nothing to do with the other symptoms. (No effect)
 * Are getting kind of spooky. (No effect)

Choice 7
 * We're very happy for him. (No effect)
 * That makes sense. (No effect)
 * I'm guessing you didn't come to chat? (No effect)

Choice 8
 * I'd love to! (💎 17)
 * I'll pass. (No effect)

Diamond Choice 5
 * What's with the... unusual outfit? (No effect)
 * What are your qualifications? (No effect)
 * Is that a fidget spinner? (No effect)

Diamond Choice 6
 * Is this guy for real? (No effect)
 * What do you think? (No effect)

Diamond Choice 7
 * If a patient refused a life-saving treatment, what would you do? (No effect)
 * How do you work in a team? (No effect)
 * Why are you the best fit for this position? (No effect)

Diamond Choice 8
 * Yes, I think I would. (No effect)
 * That's up to you, Ethan. (No effect)

Choice 9
 * I'd love to join you! (No effect)
 * How do you find the time? (No effect)
 * I'm glad that's not required. (No effect)

Choice 10
 * It's a huge honor, and you deserve it. (No effect)
 * I'm so happy you're excited! (No effect)
 * Better you than me! (No effect)

Choice 11
 * Let's party! (💎 18)
 * I don't think I can. (No effect)

Diamond Choice 9
 * I'll do the shot with you. (No effect)
 * I'll get you a beer instead. (No effect)

Diamond Choice 10
 * A fighting game! (No effect)
 * A racing game! (No effect)

Diamond Choice 11
 * A pop hit. (No effect)
 * A ballad. (No effect)
 * Something country.

Diamond Choice 12
 * Bryce. (No effect)
 * Jackie. (No effect)
 * Rafael. (No effect)

Diamond Choice 13 (Bryce)
 * You kissed me. (No effect)
 * We toasted Jackie. (No effect)

Diamond Choice 13 (Jackie)
 * A kiss. (No effect)
 * A toast! (No effect)

Diamond Choice 13 (Rafael)
 * A celebration kiss. (No effect)
 * A toast to Jackie! (No effect)

Choice 12
 * How long did the seizure last? (No effect)
 * What was going on just before the seizure? (No effect)

Choice 13
 * An S.T.D.? (No effect)
 * A tumor? (No effect)
 * An unknown infection? (No effect)

Choice 14
 * What was that noise? (No effect)
 * Don't worry about it. (No effect)

Choice 15
 * Will be back to normal soon. (No effect)
 * Should be more careful. (No effect)
 * Will have to give up the fortune teller dream! (No effect)

Choice 16
 * It was a group effort. (No effect)
 * It was all me! (No effect)
 * The important thing here is the patient. (No effect)

Chapter Three: Look on the Bright Side Choices
Choice 1
 * That's great news! (No effect)
 * Surgeons go to med school? (No effect)
 * I'd be more cautious. (No effect)

Choice 2
 * Let's get down to business, shall we? (No effect)
 * Sorry, don't let me interrupt. (No effect)
 * A good bistro? I'm dying for a rec! (No effect)

Choice 3
 * Thank you so much! (No effect)
 * I'm surprised you noticed. (No effect)

Choice 4
 * Have you spoken to your oncologist? (No effect)
 * That's young for ovarian cancer. (No effect)
 * Are you taking any medications for it? (No effect)

Choice 5
 * I wish everyone could be so positive! (No effect)
 * How do you fit all that in? (No effect)
 * Don't overtax yourself! (No effect)

Choice 6
 * What are you? (No effect)
 * Get me a coffee? (No effect)

Choice 7
 * Adorable! (No effect)
 * Creepy! (No effect)
 * Unnecessary. (No effect)

Choice 8
 * Sign me up! (💎 12)
 * I'm sure you can handle it alone. (No effect)

Diamond Choice 1
 * I know it's terrible in these things. (No effect)
 * Just take a deep breath. (No effect)
 * But you're a pro, right? (No effect)

Diamond Choice 2
 * Do you prefer it to surgery? (No effect)
 * What's the deal with you and Ethan anyway? (No effect)

Diamond Choice 3
 * I've learned so much about patient care from him. (No effect)
 * I've come to consider him a friend. (No effect)
 * It doesn't matter. He's the best there is. (No effect)

Diamond Choice 4
 * Thank you. That means a lot. (No effect)
 * You're right. Edenbrook is lucky to have me! (No effect)
 * I'm the lucky one, being here at Edenbrook. (No effect)

Choice 9
 * I don't mind the view, Bryce. (No effect)
 * Good look on you, Raf. (No effect)
 * This is a hospital, right? (No effect)

Choice 10
 * That's fantastic! (No effect)
 * You shouldn't rush something like that! (No effect)
 * You'll be insufferable, won't you? (No effect)

Choice 11
 * Let's drive! (💎 17)
 * Maybe next time. (No effect)

Diamond Choice 5
 * It is pretty beautiful... (No effect)

Diamond Choice 6
 * I'm driving. (Path A)
 * You'd better drive. (Path B)

Diamond Choice 7 (Path A)
 * The turns course! (No effect)
 * This straightaway. (No effect)

Diamond Choice 8 (Path A)
 * Sounds like a challenge! (No effect)
 * Not for me, thanks. (No effect)

Diamond Choice 9 (Path A)
 * Try and stop me! (No effect)
 * I think that's enough speed for today. (No effect)

Diamond Choice 7 (Path B)
 * Hit the turns! (No effect)
 * Keep going straight. (No effect)

Diamond Choice 8 (Path B)
 * Go for it! (No effect)
 * Hell no. In fact... slow down, please? (No effect)

Diamond Choice 9 (Path B)
 * Go for it! (No effect)
 * Sorry, I think I'm done. (No effect)

Diamond Choice 10
 * Kiss him. (No effect)
 * Snap a selfie! (No effect)

Choice 12
 * Our best bet is managing symptoms. (No effect)
 * There is no cure. (No effect)

Choice 13
 * I don't see why not! (No effect)
 * We can't predict that. (No effect)
 * We'll do everything we can to make it happen. (No effect)

Choice 14
 * Heroic Measures (💎 18)
 * No thanks (No effect)

Diamond Choice 11
 * Have super-strength! (No effect)
 * Can read minds! (No effect)
 * Can create infinite candy! (No effect)

Diamond Choice 12
 * Fighting for the forces of good! (No effect)
 * A villain in disguise! Mwahahaha! (No effect)

Diamond Choice 13
 * Pudding cups for everyone! (No effect)
 * Movie time! (No effect)

Diamond Choice 14 (Pudding)
 * Who doesn't love that? (No effect)

Diamond Choice 15
 * You're welcome back any time. (No effect)
 * I'm happy to help. (No effect)
 * You're the one who's inspiring me! (No effect)

Choice 15
 * I just saw her out. (No effect)
 * This is a joke, right? (No effect)
 * You must have a reason... (No effect)

Chapter Four: Power Struggles Choices
Choice 1
 * You can't do this! (No effect)
 * I suppose it is your hospital...

Choice 2
 * It's a great opportunity for her.
 * She's at a lot of risk. (No effect)
 * You need her more than she needs you.

Choice 3
 * Ethan's right.
 * You and Harper are right. (No effect)
 * I should stay out of this.

Choice 4
 * Are you liking lab work? (No effect)
 * But we still miss you.

Choice 5
 * Basically anything that might help him and his wife.
 * It is an area that needs more research... (No effect)
 * Anything that advances medicine is good if you ask me.

Choice 6
 * Great! I'm happy for you. (No effect)
 * Suspicious.

Choice 7
 * Esme on this. (No effect)
 * Jackie.

Choice 8
 * Our psychic patient warned me about Bloom. (No effect)
 * I just learned Bloom convinced Baz to swap to research.

Choice 9
 * Let's do it! (💎 16)
 * We'd better not.

Diamond Choice 1 ''You get to choose all of them. This just determines the order.''
 * His desk drawers. (No effect)
 * The wall safe. (No effect)
 * The bookshelf. (Path A)

Diamond Choice 2 (Path A)
 * Read it. (No effect)
 * Put it back.

Diamond Choice 3
 * It's great you're boosting the interns.
 * You need to let them fail more. (No effect)
 * You sound like a total mother hen.

Diamond Choice 4
 * Keep supporting her, whatever it takes! (No effect)
 * Be careful not to over-identify with her.

Diamond Choice 5
 * But this says... (No effect)

Choice 10
 * We should be cautious.
 * You're losing sight of the patients, Ethan. (No effect)
 * We should pick the toughest case, then. Why not?

Choice 11
 * Of course I'll help! (💎 15)
 * Go without me.

Diamond Choice 6
 * Sushi.
 * Chinese food. (No effect)
 * Moroccan.

Diamond Choice 7
 * How have you been feeling? (No effect)
 * How'd you wind up in the study?

Diamond Choice 8
 * Bloom is just using you.
 * You're in the control group. (No effect)
 * This isn't the right trial for you.

Diamond Choice 9
 * With a kiss. (No effect)
 * With dessert.

Choice 12
 * Address it head on.
 * Stay quiet too. (No effect)
 * Know I won't lie about this.

Choice 13
 * Wonderful to meet you, Mr. Cruz.
 * For real? I'm a huge fan! (No effect)
 * So... I'm guessing you play a sport?

Choice 14
 * How'd you land him as a patient?
 * What was he here for? (No effect)
 * Will you be able to handle it without going full fanboy?

Choice 15
 * To follow up on a trial subject.
 * To learn about the Amoxibrate study. (No effect)
 * To catch up with you.

Choice 16
 * Lucky you.
 * Maybe you should pay more attention. (No effect)
 * Well, it was worth a shot.

Choice 17
 * I can't wait! (💎 18)
 * Some other time, maybe.

Diamond Choice 10
 * What is this equipment?
 * I feel like I'm in a sci-fi movie! (No effect)
 * How much did all this cost?

Diamond Choice 11
 * That's wonderful!
 * It sounds like a P.R. stunt. (No effect)
 * At least Bloom's doing something right.

Diamond Choice 12
 * How about Marshmallow?
 * Meet Killer. (No effect)
 * I actually like Wham!

Diamond Choice 13
 * Literally. I can't believe it.
 * You two are miracle-workers! (No effect)
 * Elijah, I have to ask... is this about you?

Choice 18
 * What sort of big news?
 * Let me guess, you've eliminated patient care altogether. (No effect)
 * Exciting!