Plot
The protagonist is Susan Ashworth, a chronically depressed, middle-aged woman with no friends. She hates flowers, and her only companions are stray cats, whom she summons to her flat by playing her piano. She is known in her neighborhood as the cat lady.
One night, Susan decides to take her own life, but this leads her to a strange place in death where she encounters the Queen of Maggots, who grants her immortality and gives her the task of ridding the world of five psychopaths referred to as the "parasites".
Susan returns to the world of the living and wakes up in a hospital bed. She meets Liz, a friendly nurse unhappy with her job, who tells Susan her "daughter" saved her; much to the chagrin of Susan, who has no daughter. Susan attempts to escape, only to be stopped by Doctor X - the hospitals' psychiatrist. She tells him how Liz killed herself the night before, after which Doctor X traps and kills Susan. She awakes later in some kind of hidden torture basement to the screams of another victim. She discovers that Doctor X kills his patients to reform them as artwork. Susan escapes, possibly after killing Doctor X.
She returns to her house, attempting to return to her normal life. Whilst summoning the cats, she receives a complaint from a neighbour who threatens to call pest control. After this, she meets Mitzi, a young, homeless woman willing to be her new roommate. She had lied about being Susan's daughter to save her life. When Susan sees the Queen of Maggots behind Mitzi, she realises she is close to death, leading Mitzi to reveal she has cancer. Susan learns that Mitzi had a boyfriend named Jack who was driven to insanity upon learning of her cancer. He stumbled upon a suicide forum online, in which a troll called the "Eye of Adam" lured people to kill themselves. Jack has attempted to persuade her into it, though Mitzi had refused, leaving Jack to kill himself. Mitzi insists that she just wants to find the person, who is in the flat, to "talk" with them before she dies. Soon after, Susan investigates outside after hearing the cats howling outside, only to be kidnapped by the pest controller.
Susan awakes in the pest controllers' house, tied to a table. The man reveals he is sexually attracted to Susan, though his wife then interrupts and pours bleach over Susan's face. The pest controller, seeing Susan so bloodied, loses interest and abandons her with a gun, unaware of Susan's immortality. Susan finds the house littered with cat and human meat. She unsuccessfully calls the police and then Mitzi, asking for the chemical combination used by Jack, and uses this to murder the couple.
Upon returning to the flat, Susan and Mitzi slowly become friends, and Susan helps Mitzi find the Eye of Adam. When having coffee, Mitzi asks Susan if she has children, unknowingly opening her old wounds, before Susan angrily walks out, only to be murdered by a man pretending to offer flowers. Susan awakes on some kind of dock, in a limbo state between life and death, where she has to blow out another candle to reveal another death.
Awaking in the flat, she is tied to Mitzi in the bath, where they fail to escape. Susan reveals her hatred for flowers; ten years ago, she was young mother to Zoe, married to a taxi driver named Eric. One night, whilst Eric is working, Susan is at home with Zoe . She tries to break things off with a man who attempts to pursue her despite her being married by repeatedly sending her flowers, which she hides in Zoe's room. Eric returns home, informing Susan of a terrorist attack happening earlier that day, nearly killing him. Susan was oblivious to this as she was talking to her admirer, who promptly calls to interrupt the conversation. Whilst Eric and Susan argue, Zoe has an allergic reaction to the pollen from the flowers, eventually killing her. Susan also reveals to Mitzi that Eric was found dead shortly after, leaving her alone and depressed.
The ending of the game changes slightly based on the player's choices.
