Mature Content Description

The developers describe the content like this:

This visual novel contains explicit sexual scenes with full nudity depicted in an anime art style. These scenes occur as part of the story progression during regular gameplay. The game also depicts alcohol use and contains references to an off-screen medical complication and a patient's death, a fictional medical-regulatory inquiry, and a fictional civil lawsuit involving a cosmetic-surgery business.

About This Game

A morally-charged adult romance about power, trust, and what "choice" really means.

In Elective Affair, you play Dorian Pryce, founder and chief surgeon of Lumière Aesthetics—an influencer-driven cosmetic-surgery empire built on speed, scale, and the promise of a better self in twelve easy payments. Three weeks after a young patient dies on an unwatched recovery bed, Dorian is trapped between a medical-board investigation, a wrongful-death lawsuit, private-equity pressure, and a glossy relaunch campaign designed to bury the truth.

As the walls close in, he's pulled into three high-stakes romances—each with a different kind of intimacy, danger, and consequence—where every confession can ruin careers, destroy a marriage, or finally put a dead girl's name back where it belongs.

Meet the Cast

Gabi Vega — The Sister
Brielle's older sister: a working-class Miami mechanic with grease on her hands, rage in her throat, and grief she refuses to let anyone rebrand into "closure." She comes to Lumière for her sister's records and finds herself leaning on the one man inside the machine who treats her like a person—before she understands he is the machine.



Bianca Adair — The Co-Founder
Dorian's wife, Lumière's CEO, and the immaculate public face of the brand—the architect of the campaigns, funnels, and financing that turned insecurity into conversion. Quick, polished, and always three moves ahead, she's quietly planning to leave clean… until the crisis traps her back in the same rooms with the man she built everything with.



Mara Quintero — The Anesthesiologist
Lumière's lead anesthesiologist is the clinic's sharpest mind and its most uncompromising conscience—the one who warned Dorian in writing that the schedule would kill someone, then performed CPR when it did. Calm, exact, and dry as bone, Mara is also the sworn witness whose testimony can end him.

Key Features

• Three distinct romance routes, one irreversible choice — A single-choice structure where the door you walk through defines the relationship and the price you pay.
• A morally charged modern setting — Private equity, influencer marketing, medical liability, and "consented risk" collide inside a clinic that can reframe a death as a line item.
• High-pressure, procedural storytelling — Depositions, incident reports, discovery requests, and document holds create a thriller-like momentum beneath the romance.
• Themes with teeth — Explore Informed Consent, Going Under, and Acceptable Risk—and decide whether truth is redemption, ruin, or simply the minimum a person owes.
• Explicit adult content in every route — Each romance route includes explicit adult scenes.

Content Warning

This game is an Adult Romance Visual Novel intended for mature audiences. It contains explicit sexual content, intense emotional situations, and themes involving medical trauma, death, grief, legal pressure, and institutional exploitation. Player discretion is advised.