This game is something else! I saw many fun games at Gen Con but Holding On: The Troubled Life of Billy Kerr from Hub Games pairs gameplay with a meaningful experience, such as I haven’t seen before.

At the basic level, Holding On is a cooperative worker-placement game, where the players manage hospital staff as they work with heart-attack patient Billy Kerr.

At a deeper level, though, gameplay presents the opportunity to learn something about modern medical care. Each game round represents 1 day and consists of three work shifts. During each shift, the players have to decide between allocating resources to physical care, addressing Billy’s direct medical needs, and palliative care, making him more comfortable and establishing a closer, trusting relationship with him.

But that’s not what this game is really about. What Holding On is about is the troubled life of Billy Kerr. And that is revealed, slowly, through 10 scenarios, during which the players are able to help the patient recover memories of his earlier life. Partial-memory cards with limited text and hazy images can be replaced with clarifying overlays if the right choices in care are made. And while I wouldn’t (in fact, can’t) spoil the whole story, I can reveal that Billy’s history is a complex one involving The Troubles in Northern Ireland.

The story, I’m told, is based on real facts and paints an honest picture of a complex character.

The game, then, promises to give players a lot to think about.

Holding On: The Troubled Life of Billy Kerr should be available at Essen Spiel for $40.