After appearing in a void, you live the life of a 1830s woman abused by her alcoholic husband during the Temperance movement. The game is not completely historically accurate and is intended to mainly be a way to understand how difficult it was for victims of alcohol to get help.
There are six "achievements" (aka endings), plus one that you should not be able to reach by playing.
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If you log in before playing, you'll be able to save your progress - which means you can come back later and pick up where you left off.