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Using the Resistance System first developed in Spire: The City Must Fall, Heart focuses on what player characters have to lose in pursuit of their goals whether that’s supplies, friends, sanity, blood, a way home, or spatial or bodily integrity. Anything is up for grabs. Classes such as the addict Junk Mage, the bee-filled Deep Apiarist, the ravenous Cleaver and the pre-deceased Deadwalker give players the opportunity to explore the world from unique perspectives.