[2][3] On Christmas Day 1998, a young girl, Kathy Flannery, is discovered unconscious in the forest, apparently attacked by a bear.

Emma's classmate Matthew Williams becomes involved in the mystery surrounding the disappearance and the dark secrets of the town.

The game features the "tank style" movement controls made famous by Resident Evil, fighting and shooting systems, and quick time events.

[7] After Mizzurna Falls was released, Ishizuka retired from video game development and emigrated to Canada, where he became a tour guide for visitors going to the Canadian Rockies.

[10] Rolling Stone commented that the title was "quirky, weird, and rife with references to a cornucopia of media, namely Twin Peaks, and traces of it can now be seen in cult favorites like Deadly Premonition.

However, the patch was quickly pulled off various sites due to a copyright complaint, as the publisher had compiled all the code from the authors without permission.

[15] Despite this new tool, Cirosan still had to edit and revise parts of the script, with Evie's permission, in order to fit the entire story into the translation.

[16][17] In December 2024, an Italian translation from RickTM and GrandpaTheobald was released as well thanks to Nikita's tool and all previous contributions to the project.