Play as Eliza Clemens, a cyborg mechanic (name and appearance customizable), living day-to-day in one of the few remaining cities on Earth. As climate collapse and disease have reshaped society, Eliza's shop, The Gilded Lady, installs cybernetic replacement limbs for sufferers of Neo-leprosy, a devastating redux of that old end-of-days affliction.
But the fragile balance that keeps life survivable is suddenly upset by a technological breakthrough. And Eliza must choose who to face it with.