Scenes of this kind depict a varying combination of masturbation, oral sex and intercourse. Throughout gameplay, there are scenes depicting Shiki and a given heroine having sex. To view all plot lines in their entirety, the player will have to replay the game multiple times and choose different choices to further the plot to an alternate direction.

Some decisions can lead the game to end prematurely and offer an alternative ending to the plot. Throughout gameplay, the player is given multiple options to choose from, and text progression pauses at these points until a choice is made. Kanojo x Kanojo x Kanojo follows a branching plot line with multiple endings, and depending on the decisions that the player makes during the game, the plot will progress in a specific direction. Throughout the game, the player encounters CG artwork at certain points in the story, which take the place of the background art and character sprites. The text is accompanied by character sprites, which represent who Kyōtarō is talking to, over background art. Much of its gameplay is spent reading the text that appears on the screen, which represents the story's narrative and dialogue. Kanojo x Kanojo x Kanojo is an erotic visual novel in which the player assumes the role of Shiki Haruomi. Other media such as art books, and various merchandise were also released. A hentai original video animation (OVA) series was produced, containing three episodes. The gameplay in Kanojo x Kanojo x Kanojo follows a branching plot line which offers pre-determined scenarios with courses of interaction, and focuses on the appeal of the three female main characters by the player character. Kanojo x Kanojo x Kanojo premiered as the sixth best selling visual novel in the month and year of its release on.

The story follows Shiki Haruomi, who begins living with three beautiful sisters after the volcano on his island erupts. A sequel visual novel, titled Kanojo x Kanojo x Kanojo Dokidoki Full Throttle!, was released as a PC game for Windows on February 27, 2009, and later released as a PSP game and DVD TV game as well. Kanojo x Kanojo x Kanojo was later released for the PlayStation Portable, and as a DVD TV game. Kanojo x Kanojo x Kanojo: Sanshimai to no Dokidoki Kyōdō Seikatsu ( 彼女×彼女×彼女～三姉妹とのドキドキ共同生活～) is a Japanese erotic visual novel developed by Crossnet, and released for Windows PCs on May 30, 2008.

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