
A long-form, choice-driven psychological horror and depression game in which the protagonist’s ending changes based on the choices made by “you,” the voice he hears in his head.
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Media

About
▷ Synopsis
The protagonist, known as “Doctor,” decides their actions based on the choices made by “you,” the player.
Doctor, a psychiatrist, wakes up in a hospital.
For the next five days—until the patients are discharged—Doctor must take care of them.
However, the three patients are exceptionally sweet, exceptionally cute, and exceptionally troublesome troublemakers…?
A psychological horror, choice-based depression game where the protagonist’s fate changes depending on the choices made by you, the player.
Features
Long playtime: approximately 7–12 hours
Endings:
3 NORMAL ENDINGS
4 GAME OVERS
13 BAD ENDINGS
1 TRUE ENDING
0 HAPPY ENDING
Over 100 illustrations
Memorable background music
In-game Achievements
Genres
Stats
Languages: Japanese*, English, Portuguese - Brazil*languages with full audio support
Engagement
Reviews
Themes across 40 recent reviews and how positive each mention is. A keyword signal, not full sentiment analysis.
Reviews
ririka.
怖さもあるものの、 れ、、、ドクターの過去の恐怖、そしてそれを覆すほどの真実、さらにはそのドクターも、、、、これ以上は自身でのプレイを、
心に余裕のある人のみプレイしてください。
Related
Related
Trends
Concurrent players on Steam, sampled daily since tracking started.
Hours played at review time, across 40 reviews with recorded playtime.
positive critical· bar length = how often the theme comes up
サイコホラーに慣れてない人間が手を出すな
Highly recommended if you're into Psychological Horror. Worth every minute.
いい意味でも悪い意味でも最高に後味がわっるいです。最高です。 あまりにリアルすぎるのでトラウマがある人は気を付けてもいいかも
伏線回収えぐい神作品
良くも悪くも心を持ってかれるので、このゲームに関しては実況配信を見るのもありかもしれません… 自分の環境だけかもですが、棚から複数回アイテムを入手するとバグって進行不可になったので、アイテム取得は一日一回にしましょうね! 途中からインストールフォルダのexeから起動してたらプレイ時間が1時間とかになっちゃってますが、ちゃんとクリアしました!作者様ありがとう!すーぱーうるとらうさぎらっしゅも楽しかったです!
Esse jogo é uma mistura de: dating sim bizarro, com terror, com depressão profunda, esquizofrenia e 20 minutos xingando o protagonista apos passar 6 horas sofrendo com ele, xinguei metade do japão e chorei igual uma p*ta, 10/10 recomendo.
YAMIKKO TROUBLEMAKER is a psychological horror visual novel developed by お湯めの and published by 半角全角感嘆符 that focuses heavily on emotional discomfort, personal responsibility, and difficult moral choices. Rather than pursuing horror through relentless jump scares or action-heavy survival mechanics, the game builds tension through atmosphere, psychological pressure, and storytelling that deliberately places players into emotionally exhausting situations. It is an experience designed to disturb rather than entertain casually, delivering a narrative that explores darker aspects of the human mind while forcing players to carry the consequences of their own decisions. The story follows a psychiatrist referred to simply as Doctor, a figure whose actions become directly influenced by the player. The premise begins inside a hospital setting where Doctor awakens and receives a responsibility that initially appears manageable: care for three patients across several days before they eventually leave the facility. However, what starts as a structured routine gradually transforms into something far more unsettling. Each patient introduces complications that slowly erode any sense of stability, pulling the narrative toward increasingly uncomfortable territory where emotional strain becomes one of the game’s primary driving forces. A major strength of YAMIKKO TROUBLEMAKER lies in how it handles player agency. Choices are not treated as minor dialogue variations designed merely to create replay value. Decisions influence Doctor’s mental state and alter how events unfold throughout the story. The game contains multiple endings, including negative outcomes and alternate narrative conclusions, creating a system where every interaction carries weight. Players are not simply observing events unfold from a safe distance. Instead, they become partially responsible for the direction the story takes, creating a stronger emotional connection to both successes and failures. The psychological themes presented throughout the game are intense and intentionally challenging. The story explores subjects involving trauma, addiction, emotional instability, self-destructive behavior, and other mature themes that contribute heavily to its unsettling tone. YAMIKKO TROUBLEMAKER does not soften difficult material or attempt to create emotional comfort for the player. Its storytelling approach feels uncompromising, aiming to create unease not only through events happening inside the game world but through the emotional burden attached to participating in them. The presentation reinforces that atmosphere effectively. Pixel-based visuals create an interesting contrast against the darker subject matter. Character illustrations and environmental design may initially appear simple, but they contribute heavily to the experience’s mood. The visual style creates room for imagination to fill in disturbing details, which often becomes more powerful than direct visual horror. Additional illustrations integrated throughout the story help emphasize emotional moments and strengthen dramatic scenes without sacrificing the game’s retro-inspired identity. Audio design plays a significant role as well. Psychological horror often depends on sustaining tension over long periods rather than relying on sudden shocks, and YAMIKKO TROUBLEMAKER appears built around maintaining that uneasy feeling consistently. Quiet moments become uncomfortable rather than peaceful. Music and atmosphere support the emotional tone without overwhelming it, allowing the narrative itself to remain the primary source of tension. The game also benefits from its pacing. Rather than rushing players from one major moment to another, it allows situations to develop gradually. Relationships evolve, pressure builds, and uncertainty grows stronger over time. This slower approach creates stronger emotional investment and gives difficult choices greater impact. When consequences finally appear, they feel earned rather than artificially inserted for dramatic effect. However, the qualities that make YAMIKKO TROUBLEMAKER memorable may also make it inaccessible for certain players. The experience prioritizes narrative depth over traditional gameplay systems, meaning those searching for mechanical complexity or action-focused horror may find its structure too limited. Its mature subject matter also requires consideration before playing. The emotional weight carried throughout the experience can become exhausting, particularly for players sensitive to darker psychological themes. Despite those limitations, the game succeeds because it commits fully to its creative vision. It understands exactly what kind of emotional experience it wants to deliver and remains focused on that identity throughout its runtime. Rather than attempting to appeal to everyone, it creates something highly specific for players who appreciate psychological storytelling built around difficult choices and unsettling emotional themes. YAMIKKO TROUBLEMAKER stands out not because it tries to shock players constantly, but because it understands how fear can emerge from responsibility, guilt, uncertainty, and emotional pressure. It creates horror through consequences and human vulnerability rather than spectacle. For players seeking narrative-driven psychological horror with meaningful decision-making and darker storytelling, it delivers an experience capable of lingering in memory long after the credits roll. YAMIKKO TROUBLEMAKER delivers a powerful psychological horror experience supported by strong atmosphere, impactful choice systems, and emotionally difficult storytelling that leaves a lasting impression. Rating: 9/10
Audience
Estimated from the language of this game's reviews — a proxy for where players are, not official Steam demographics.