It has since received several spin-off titles, including a sequel entitled To Heart 2 Another Days, which was released on Februfor Windows, and has also made transitions to other media. Its original PlayStation 2 release sold more than 82,000 copies in its first week of release in Japan, and it was voted as the third best bishōjo game by the readers of Dengeki G's Magazine in 2007. The game was positively received in both sales and popularity. Its story centers on the male protagonist Takaaki Kouno, and focuses on the appeal of the female main characters. The gameplay in To Heart 2 follows a branching plot line with multiple endings, which offers pre-determined scenarios and courses of interaction based on the player's decisions. This deviated from the release history of the game's predecessor, To Heart, which was originally released with adult content prior to receiving versions with such content removed.

It was first released for the PlayStation 2 on Decemas an all-ages title, and was followed by an adult version playable on Microsoft Windows and subsequent all-ages versions for the PlayStation Portable and PlayStation 3.

To Heart 2 (stylized as ToHeart2) is a Japanese romance visual novel developed by Leaf and published by Aquaplus.

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