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The gameplay in True Tears requires little player interaction as much time is spent on reading the text that appears on the lower portion of the screen, representing either dialogue between characters, or the inner thoughts of the protagonist. Before the beginning of every week in the game's storyline, the player is given the option to plan a schedule, and is allowed to pick and view any three days of the given week. Different events occur depending on the days that the player chooses. Every so often, the player will come to a "decision point" where he or she is given the chance to choose from options that are displayed on the screen, typically two to three at a time. Depending on which choice the player makes, the "tear points" of the heroine associated with the events of the day would either increase, decrease, or remains the same. "Tear points" act as a system notifying the player how well he or she is treating a certain character. If a character's tear points exceed the maximum amount of eight, her ending is rendered inaccessible during that specific playthrough. There are multiple plot lines that the player will have the chance to experience. To view all of the plot lines, the player will need to replay the game multiple times and make different schedules and choices during decision points to progress the plot in an alternate direction.