Three to six players – called "sissies" – can play in a single game with each player beginning a round with ten hearts, each heart representing one "self-esteem point". The turn-based game hides a player's moves from the other players while in-game chat bubbles may be used to create alliances and coordinate their moves collectively. With each round, players try to eliminate each other's self-esteem until only two (or occasionally one or none) are left standing and proclaimed the winners of that game on a classroom-style blackboard.

Three to six players – called "sissies" – can play in a single game with each player beginning a round with ten hearts, each heart representing one "self-esteem point". The turn-based game hides a player's moves from the other players while in-game chat bubbles may be used to create alliances and coordinate their moves collectively. With each round, players try to eliminate each other's self-esteem until only two (or occasionally one or none) are left standing and proclaimed the winners of that game on a classroom-style blackboard.