Miyachan No Kyuuin Life 17 Extra Quality -

: Use phrases like: "Experience Miyachan’s world in a detail you’ve never seen before. Every breath, every sound, now in Extra Quality."

The protagonist, whose life is a cycle of suffering and physical restoration.

Lost one half-point because the installation process requires a Japanese locale emulator (like Locale Emulator) for non-Japanese OS, which can be a hurdle for international fans. Otherwise, it is a masterpiece of indie storytelling.