The game opens with Amy and her caretaker, Lana. They are victims of a train crash and quickly find themselves running from monsters and the military to survive. As Lana, players are able to command Amy to reach through spaces too small for Lana to fit through, push buttons, and eventually use psychokinetic powers. If at any point Amy dies, this counts as a failure and the player must restart from the previous checkpoint. As Amy cannot speak, she communicates through drawing.