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

Choice 4 (Woman)
 * Face 4


 * Auburn Waves


 * Brown Curls


 * Black Updo


 * Blonde Layers

Choice 4 (Man)


 * Brown Wavy


 * Black Curly


 * Black Swept

Choice 5
 * Blond Parted


 * 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 Choice 9
 * That's right!
 * No... (Go back to Choice 6)
 * 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' 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.
 * 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 the last call with Ethan. (💎12)
 * Explore the city with Bryce. (💎12)
 * Grab a midnight snack with Jackie. (💎12)
 * Head home from 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)

Choice 8
 * Buy this item! (💎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.
 * 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
 * They make you look smart.
 * They make it harder to see your eyes.

Ethan's appearance will depend on what you choose in Diamond Choice 9

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