Choices: Stories You Play Wiki
Choices: Stories You Play Wiki

Open Heart is the first book of the Open Heart series. It is followed by Open Heart: Second Year and Open Heart: Third Year.


You're the newest medical resident at Edenbrook Hospital, working under the brilliant and demanding Dr. Ethan Ramsey. Can you make the cut?


Chapter 1: The Doctor Is In

You're the newest medical resident at Edenbrook Hospital, working under the brilliant and demanding Dr. Ethan Ramsey. Can you make the cut?

Chapter 2: Code Blue

As your first day as a doctor gets more challenging, you'll need to rely on your new friends to make it through...

Chapter 3: Hanging in the Balance

The hunt is on... for a new apartment! But can you and your future roommates find time for life outside the hospital?

Chapter 4: Dolores

When your latest patient turns out to be an old friend of Dr. Ramsey's, he decides to work the case with you. Are you up to the challenge?

Chapter 5: Relief

After a crazy first week, you finally get a day off... but when an emergency strikes, can you and your friends handle it on your own?

Chapter 6: Housewarming

Things heat up at your new apartment's housewarming party...

Chapter 7: Patient X

Ethan's secret case excites your friends, but you find yourself with a secret of your own.

Chapter 8: Make-Believe

While Dr. Ramsey trusts you with a painful secret, you resort to unorthodox means to get a new patient the care she needs.

Chapter 9: The Pita

As the competition intensifies, Dr. Ramsey assigns you a difficult case. But is he rewarding you... or punishing you?

Chapter 10: Risk and Reward

Jealousy spreads as Ethan brings you to a medical conference in Miami. But why did he really invite you along?

Chapter 11: Whatever It Takes

A familiar face returns to Edenbrook with a grim diagnosis.

Chapter 12: Panacea

You're determined to get a life-saving treatment for a favorite patient, but are you ready to go up against one of the biggest companies in the world?

Chapter 13: Admission

As Harper Emery opens an investigation into a patient's death, a sudden decision leaves the hospital reeling.

Chapter 14: Triage

In the aftermath of a disaster, Edenbrook is overrun with patients who need you. Can you decide who to help... and who you have to cast aside?

Chapter 15: Hearing Impaired

Your ethics hearing is coming up, and Declan Nash has the hospital board in his pocket... but there's still time to change some minds.

Chapter 16: The Curious Case of Dr. Banerji

A shocking discovery gives you a fighting chance. But did you find it in time to make a difference?

Chapter 17: The Oath

The moment of truth has arrived as you defend the decisions you've made over your intern year.


Sneak Peeks

Pre-Book Sneak Peeks & Information

Locations in Book 1


Promotional Videos


  • On November 30, 2018, it was announced that one of PB's 2019 releases is a medical drama where we will solve medical mysteries.[1]
  • On January 15, 2019, PB teased this book will be coming out later this year and told players to get ready to make life-or-death decisions in this book in the blogpost for America's Most Eligible: All Stars.[2]
  • On February 1, 2019, PB teased that the players can expect more info on this book sooner, rather than later via a Q&A on PB's Instagram & Twitter pages.[3]
  • On February 7, 2019, PB revealed the teaser cover for this book along with an official name.[4]
    • In addition, when asked, they also confirmed that the player can choose MC's gender.[5]
  • On February 8, 2019, PB asked players to be sure to follow along on their respective social media pages for more sneak peeks of Open Heart, their next upcoming Choices book![6]
  • On February 12, 2019, PB released the official cover for the book, together with a premiere date for Friday, February 22, 2019.[7]
  • On February 12, 2019, it is revealed that Luke, one of the writers of Pixelberry, is a lead writer for this book and had pitched this story idea to Pixelberry in 2015.[8]
  • On February 13, 2019, the description for Chapter One was released.[9]
  • On February 15, 2019, PB released a sneak peek, this one featuring a brochure that talks about Dr. Harper Emery, the Chief of Medicine at Edenbrook Hospital.[10]
  • On February 18, 2019, PB released another sneak peek, this one featuring some of the doctors at Edenbrook Hospital.[11]
  • On February 20, 2019, PB released another sneak peek, this one featuring a possible MC.[12]
  • On February 21, 2019, PB released a sneak peek that featured MC's fellow residency interns at Edenbrook Hospital.[13]
  • On February 27, 2019, a sneak peek for Chapter 3 was released.[14]
  • On March 13, 2019, PB released a sneak peek for Chapter 5.[15]
  • On April 4, 2019, PB released a sneak peek for Chapter 8.[16]
  • On April 26, 2019, PB hosted an IG livestream and shared some information regarding Open Heart:
    • Luke (writer) had inspiration from his brother who was a first-year intern.
    • More chances to romance Ethan.
    • Could possibly follow MC’s three years of residency.
    • No hints regarding the person messing with MC.
    • There is something very interesting coming up in Chapter 13.
  • On May 3, 2019, PB released some info about the book as to why there are no new synopses.[17]
  • On May 8, 2019, PB released a sneak peek for Chapter 13.[18]
  • On May 21, 2019, PB released a sneak peek for Chapter 15.[19]
  • On June 6, 2019, PB released a sneak peek for Chapter 17, the finale of the book.[20]
  • On June, 20, 2019, it was revealed that in the update for the Choices App on this day, one of the new ads for the app features Ethan and a version of Your Character.


  • With PB seeming to enjoy paying homage to hit shows, this book will likely be a nod to hit real world medical dramas like Grey's Anatomy.
    • Open Heart also shares the same title and genre (medical mystery) as a Canadian TV show.
    • There are also Colombian and Mexican versions of Grey's Anatomy that are called A Corazon Abierto, which when translated is called Open Heart in Spanish.
  • Chapter 4 issued a content warning due to revolving around sensitive topics related to childbirth and trauma.
    • In a premium scene for this chapter, Your Character finds Dolores' stuffed frog she had gotten for her son to have ended up down a storm drain. Subsequently, Your Character makes a reference to IT when he/she says to Ethan Ramsey: "Oh hell no. I am not going down there! Haven't you seen 'IT'?".
    • Also, Jackie makes a reference to Cinderella when she says "the apartment's not going to turn into a pumpkin".
  • In Chapter 15, when meeting with the senior physicians for their support, their names are revealed to be Drs. Myles, Calais, and Yannick. This is a reference to players of the National Football League's Jacksonville Jaguars. They are linebacker Myles Jack, and defensive linemen Calais Campbell and Yannick Ngakoue, respectively.

Click here for the walkthrough of this book: Open Heart, Book 1 Choices.


The Freshman The Freshman, Book 1 · The Freshman, Book 2 · The Freshman, Book 3 · The Freshman, Book 4 · The Freshman: Love Bites · The Freshman: Game of Love · The Freshman: Snowed In · Chris: Luxury Getaway · James: Masquerade Ball · Kaitlyn: The Perfect Date
The Crown & The Flame The Crown & The Flame, Book 1 · The Crown & The Flame, Book 2 · The Crown & The Flame, Book 3
Most Wanted Most Wanted, Book 1 · Most Wanted, Book 2
Rules of Engagement Rules of Engagement, Book 1 · Rules of Engagement, Book 2 · Rules of Engagement, Book 3 · Rules of Engagement: Newlyweds
Endless Summer Endless Summer, Book 1 · Endless Summer, Book 2 · Endless Summer, Book 3
#LoveHacks #LoveHacks, Book 1 · #LoveHacks, Book 2
The Haunting of Braidwood Manor The Haunting of Braidwood Manor
The Royal Romance The Royal Romance, Book 1 · The Royal Romance, Book 2 · The Royal Romance, Book 3 · The Royal Holiday
The Sophomore The Sophomore, Book 1 · The Sophomore, Book 2 · The Sophomore: Hartfeld Horror Story
Hero Hero, Vol. 1 · Hero, Vol. 2
High School Story High School Story, Book 1 · High School Story, Book 2 · High School Story, Book 3 · High School Story: Class Act, Book 1 · High School Story: Class Act, Book 2 · High School Story: Class Act, Book 3
It Lives It Lives In The Woods . It Lives Beneath
Home for the Holidays Home for the Holidays
Red Carpet Diaries Red Carpet Diaries, Book 1 · Red Carpet Diaries, Book 2 . Red Carpet Diaries, Book 3
Perfect Match Perfect Match, Book 1 · Perfect Match, Book 2
Bloodbound Bloodbound, Book 1 · Bloodbound, Book 2 · Bloodbound, Book 3 · Bloodbound: Dark Solstice
The Junior The Junior, Book 1
Veil of Secrets Veil of Secrets
America's Most Eligible America's Most Eligible: Season 10 · America's Most Eligible: All Stars · America's Most Eligible: Wedding Edition
Desire & Decorum Desire & Decorum, Book 1 · Desire & Decorum, Book 2 · Desire & Decorum, Book 3 · Desire & Decorum: First Winter
Across the Void Across the Void
The Senior The Senior
Big Sky Country Big Sky Country, Book 1 · Big Sky Country, Book 2
The Elementalists The Elementalists, Book 1 · The Elementalists, Book 2 · The Elementalists: Winters Past
A Courtesan of Rome A Courtesan of Rome
The Heist: Monaco The Heist: Monaco
Ride or Die: A Bad Boy Romance Ride or Die: A Bad Boy Romance, Book 1 · Ride or Die: A Bad Boy Romance, Book 2
Open Heart Open Heart, Book 1 · Open Heart: Second Year · Open Heart: Third Year
Passport to Romance Passport to Romance
Wishful Thinking Wishful Thinking
Nightbound Nightbound
Platinum Platinum
Sunkissed Sunkissed
The Royal Heir The Royal Heir, Book 1 · The Royal Heir, Book 2 · The Royal Heir, Book 3 · The Royal Finale
Bachelorette Party Bachelorette Party
Mother of the Year Mother of the Year
Save the Date Save the Date
The Royal Masquerade The Royal Masquerade
Baby Bump Baby Bump, Book 1 · Baby Bump, Book 2
Blades of Light and Shadow Blades of Light and Shadow, Book 1 · Blades of Light and Shadow, Book 2
Witness: A Bodyguard Romance Witness: A Bodyguard Romance
Distant Shores Distant Shores
The Nanny Affair The Nanny Affair, Book 1 · The Nanny Affair, Book 2
Queen B Queen B, Book 1 · Queen B, Book 2
My Two First Loves My Two First Loves
Rising Tides Rising Tides
Hot Couture Hot Couture
Foreign Affairs Foreign Affairs
With Every Heartbeat With Every Heartbeat
Laws of Attraction Laws of Attraction, Book 1 · Laws of Attraction, Book 2
A Very Scandalous Proposal A Very Scandalous Proposal
The Unexpected Heiress The Unexpected Heiress
Wake the Dead Wake the Dead
Surrender Surrender
Crimes of Passion Crimes of Passion