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 Shot (💎 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)

Chapter Four: Blind Spot Choices
Choice 1 (if you told your friends about the budget cuts)
 * I told you that stuff in confidence! (No effect)
 * Good. We need answers. (No effect)

Choice 2
 * That's so unfair! (No effect)
 * We have to do our part, Jackie. (No effect)

Choice 3 (if you told your friends about the budget cuts)
 * You said you trusted me to do what's right. (No effect)
 * I'm sorry. I had to. (No effect)

Choice 3 (if you did NOT tell your friends about the budget cuts)
 * Didn't have a clue. (No effect)
 * Heard from Dr. Ramsey a week ago. (No effect)

Choice 4
 * I'm so sorry... (No effect)
 * You'll be painting again before you know it. (No effect)

Choice 5
 * Examine Evelyn's eyes. (No effect)

Choice 6
 * Do you feel any pain? (No effect)
 * What did the Lego guy do to deserve this? (No effect)

Choice 7
 * It would be so great if you worked here! (No effect)
 * Are you sure you're up to working in your condition?

Choice 8
 * Help Kyra ace her interview! (💎 17)
 * Wish her luck. (No effect)

Diamond Choice 1
 * Why do you want to work at Edenbrook? (No effect)
 * What do you see as your greatest strength? (No effect)

Diamond Choice 2
 * We're looking for a candidate who can work a lot of hours. (No effect)
 * How can we expect you to concentrate on your work? (No effect)

Diamond Choice 3
 * A hospital patient. (No effect)
 * A colleague. (No effect)

Diamond Choice 4
 * Take it one day at a time. (No effect)
 * Plan ahead. (No effect)

Choice 9
 * Like she could use some help. (No effect)
 * Very, very rich. (No effect)

Choice 10
 * I can't help you if you don't tell me what's wrong. (No effect)
 * Were you crying? (No effect)

Choice 11
 * Help Jackie babysit! (💎 16)
 * Let her figure something else out. (No effect)

Diamond Choice 5
 * She's nine, how complicated can she be?
 * What exactly do you mean by that? (No effect)

Diamond Choice 6
 * I don't look that tired. (No effect)
 * Let's get you something to eat. (No effect)

Diamond Choice 7
 * Guts! (No effect)
 * Brains! (No effect)

Diamond Choice 8
 * A kiss. (No effect)
 * A beer. (No effect)

Choice 12
 * We can do both! (No effect)
 * We don't have the luxury of thinking like that right now. (No effect)

Choice 13
 * They're going to love your exhibition. (No effect)
 * You will have plenty more. I know it. (No effect)

Choice 14
 * Go to the gallery with Ethan. (💎 18)
 * Stay at the hospital. (No effect)

Diamond Choice 9
 * A landscape of a farm. (No effect)
 * A portrait of a fisherman. (No effect)

Diamond Choice 10
 * Is communication. (No effect)
 * Helps you explore your own feelings. (No effect)
 * Doesn't need a purpose. (No effect)

Diamond Choice 11
 * I feel the same way. (No effect)
 * Everything's subjective, when it comes down to it. (No effect)

Choice 15 You only get the third option if you went to the gallery with Ethan.
 * I'm sorry I failed you. (No effect)
 * If there's anything I can do... (No effect)
 * I went to your exhibition. (No effect)

Choice 16
 * Evelyn's 'portrait' of you. (No effect)

Choice 17
 * You called that guy from the deli! (No effect)
 * Isn't this kind of sudden? (No effect)

Chapter Five: Influence Choices
Choice 1
 * You can't be thinking about going down there... (No effect)
 * You have to help him! (No effect)

Choice 2
 * Why did you suspend him? (No effect)
 * Are you insane? He's a hero! (No effect)

Choice 3
 * It's okay, Dr. Ramsey. Let them film. (No effect)
 * Gwyneth, your fans understand confidentiality. (No effect)

Choice 4
 * Been out of the country recently? (No effect)
 * Spent time around anyone sick? (No effect)

Choice 5
 * A good idea. (No effect)
 * Wrong. (No effect)

Choice 6
 * For the hospital. (No effect)
 * For Gwyneth. (No effect)

Choice 7
 * Go celebrate, I'll take those patients. (No effect)
 * Those patients are waiting for you. (Skip Choice 8)

Choice 8
 * Your friendships will carry you through this year. (No effect)
 * Just don't get too cocky. (No effect)

Choice 9
 * Good Vibes Only (💎 20)
 * No thanks (No effect)

Diamond Choice 1
 * Get a drink with Aurora. (No effect)
 * Grab food with Sienna. (No effect)
 * Play lawn games with Kyra. (No effect)
 * Check out the art with Rafael. (No effect)

''You get to choose all of them. This just determines the order. You only get the fourth option if you did not previously romance Rafael.''

Diamond Choice 2 (Aurora)
 * You need to trust yourself. (No effect)
 * She'll trust you to make the right call. (No effect)

Diamond Choice 2 (Sienna)
 * Hitting on you. (No effect)
 * Just sucking up to you. (No effect)
 * Incredibly lucky! (No effect)

Diamond Choice 2 (Kyra)
 * Okay to worry about yourself too. (No effect)
 * Important to fight for others. (No effect)

Diamond Choice 2 (Rafael)
 * Sometimes we need to change. (No effect)
 * I don't want you to be any different. (No effect)

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

You only get the third option if you previously romanced Rafael.

Diamond Choice 4 (Jackie)
 * Kiss her. (No effect)
 * Hug her. (No effect)

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

Diamond Choice 4 (Rafael)
 * Sometimes we need to change. (No effect)
 * I don't want you to be any different. (No effect)

Choice 10
 * I just want to make sure you're okay! (No effect)
 * I need somebody with magic hands... (No effect)

Choice 11
 * Are you about to tell me you have a child? (No effect)
 * You know you can talk to me, right? (No effect)

Choice 12
 * Does home suck? (No effect)
 * This seems pretty serious. (No effect)

Choice 13
 * Of course I do. (No effect)
 * Hell no. These hands are for ordering pizza. (No effect)

Choice 14
 * Help Bryce cook for his sister! (💎 19)
 * Go home. (No effect)

Diamond Choice 5
 * Put a pot of water on to boil. (No effect)
 * Sautee the vegetables. (No effect)

Diamond Choice 6
 * What was it like growing up with this guy for a big brother? (No effect)
 * Do you get to visit the mainland often? (No effect)

Diamond Choice 7
 * You have a little sister you never told me about. (No effect)
 * You forgot to mention that your parents are infamous? (No effect)

Diamond Choice 8
 * Something made her fly fifteen hours away from your parents. (No effect)
 * How would you know? You don't talk to her. (No effect)

Diamond Choice 9
 * So what you're saying is that we're currently in bed together... (No effect)
 * I should let you get some sleep. (No effect)

Choice 15
 * Help Ethan make his profile! (💎 18)
 * Offer to research Gwyneth on your own. (No effect)

Diamond Choice 10
 * Suit (No effect)
 * Sweater (No effect)
 * Leather Jacket (No effect)
 * White Coat (No effect)
 * Shirtless (No effect)

Diamond Choice 11
 * Fun! (No effect)
 * Useful. (No effect)
 * Awful... (No effect)

Diamond Choice 12
 * Music? (No effect)
 * Motorcycling? (No effect)
 * Marriage? (No effect)

Diamond Choice 13

This is a fill-in-the-blank choice. There is no default.
 * What do you type?

Choice 16
 * That's your call. (No effect)
 * I don't think you want a million people in the room for this. (No effect)

Chapter Six: Buying Time Choices
Choice 1 The third option appears instead of the second if Ethan showed up.
 * But it's my day off! (No effect)
 * I'll be ready in two minutes!
 * I'll be ready in two!

Choice 2 (Ethan)
 * Strip in front of Ethan.
 * Ask him to wait downstairs.

Choice 3
 * Sophistication (💎 25)
 * No thanks (No effect)

Choice 4
 * That sick?
 * Rich? (No effect)
 * An asshole?

Choice 5
 * Thanks to me, we still have a team!
 * How many times do I have to say I'm sorry?
 * (Ignore him.) (No effect)

Choice 6
 * Imagine what you could do with all that cash!
 * That's a terrifying amount of money. (No effect)
 * It's nice to know he still gets sick just like the rest of us.

Choice 7
 * What are you doing here?
 * I like your new coat! (No effect)

Choice 8
 * Does this story have a point? (No effect)
 * This isn't business, it's medicine.

Choice 9
 * Do some damage control! (No effect)
 * Run after Ethan!

Choice 10
 * Everyone deserves treatment. Even billionaires.
 * It's not for him, it's for us.
 * Stop being such a goddamn diva. (No effect)

Choice 11
 * You too! (No effect)
 * You're the one who's gonna need luck.
 * Let's promise to focus on the patient, okay?

Choice 12
 * Did your last doctor run any tests?
 * Are you physically active? (No effect)

Choice 13
 * Ask how the case is going. (No effect)
 * Change the subject.

Choice 14
 * I'm sorry. That sucks.
 * Screw those idiots! (No effect)

Choice 15
 * Go to the reunion with Aurora! (💎 18)
 * Tell her to skip it. (No effect)

Choice 16
 * He's a literal parasite. (No effect)
 * I wouldn't mind some extra cash though.

Choice 17
 * Sothy won't learn if you do his work for him. (No effect)
 * He should know how to draw blood by now!

Choice 18
 * Of course not. I'm glad you're friends. (No effect)
 * He's not your friend, he's your intern.

Choice 19
 * Take Ethan on Leland's yacht! (💎 16)
 * Wait for Leland to come to the hospital. (No effect)

Choice 20
 * You'd die waiting. (No effect)
 * But we can try if you want.

Choice 21
 * Happy I saved another life.
 * Pissed-off because money's all that matters. (No effect)