Before you start reading: This guide was written by me and translated from Chinese to English by AI, if you find any errors or inaccuracies, please be sure to leave a comment to let me know.

1, Macaron will die no matter what, as will the other characters destined for death. You cannot save them, because the theme of this game is hospice care.
2, Dialogue choices do not affect the plot progression. Feel free to ask whatever you wish.
Affection levels only impact the flashbacks in the final scene, not the ending content itself.
Completeness of information collection does not affect the ending.
3, Only the special ingredients added while brewing tea (those items in the same slot as the ice bucket) affect the ending. Once obtained, use them on Macaron. Using both unlocks the True Ending (it's very obvious, you won't miss it).

Normal Ending 1:
On day 19, after obtaining the Fizzy Candy, choose NOT to give it to Macaron that night.
Macaron will die painfully in her sleep that night.

Normal Ending 2:
On day 19, after obtaining the Fizzy Candy, give it to Macaron mixed in her tea that night.
Macaron becomes dazed but her physical condition improves slightly.
On day 20, do NOT choose to give her the Syrup.
Macaron will die on day 21 in a state of delirium and without dignity, and the plot abruptly ends.

True Ending:
On day 19, after obtaining the Fizzy Candy, give it to Macaron mixed in her tea that night.
On day 20, after obtaining the Syrup, give it to Macaron mixed in her tea that night.
Macaron regains clarity and, together with her sister, meets her "departure" with dignity on day 21.

The Fizzy Candy is in the middle of the top row; the Syrup is on the right.


Unlocking the True Ending unlocks the Memoir, revealing messages from different characters based on your affection levels with them prior.
Except for Snow Crisp (the colorful unicorn who departs first), all characters require 5 red hearts to unlock their messages. Snow Crisp, because she leaves early, only requires 4 red hearts.
Affection is raised by fulfilling the characters' tea requests. Personally, I found it quite easy to grind.

In the True Ending, Ta'er first gives Macaron the Fizzy Candy to allow her sister to pass without suffering; she then gives her the Syrup so her sister can depart with dignity. Neither choice can be called wrong, yet both have their limitations – which is inevitable, as the departure of a loved one is always a heart-wrenching and impossible choice. However, the game presents a better option:
Hospice care refers to comprehensive care provided to patients in the terminal stages of illness, focusing on alleviating physical and mental suffering, preserving dignity, and improving quality of life. It centers on palliative treatment and humanistic care, addressing the physical, psychological, social, and spiritual needs of both patients and their families.

Currently, hospice care services in China are still in a developmental stage and face significant challenges. Starting later than developed countries, development has occurred under national policy impetus, but overall service supply is severely inadequate. Professional institutions are scarce, the number of beds far falls short of the vast demand, and distribution is highly uneven. Traditional attitudes "emphasizing life over death", concerns about abandoning curative treatment, low public awareness, and a lack of professional skills among medical staff hinder the service's adoption and acceptance. Systemic shortcomings also exist, such as the lack of unified standards and regulations, imperfect medical insurance payment mechanisms, lagging development of professional teams, and an immature multidisciplinary collaboration mechanism.

Looking ahead, against the backdrop of an aging population and increasing chronic disease burden, the importance of hospice care is becoming ever more prominent. Policy support will continue to strengthen, with a focus shifting towards developing community and in-home service models and integrating medical resources. There is an urgent need to establish national service standards and guidelines, enhance professional training, and expand medical insurance coverage. Concurrently, deepening life education and popularizing understanding of death will improve societal recognition and acceptance. Greater emphasis on psychological and spiritual support is needed, with the goal of enabling every patient to complete their final life journey with dignity and without pain.

The Kemonomimi (Beastkin) Tea House is essentially a form of hospice care. Through its cute decor and the adorable Macaron, it uses a warm atmosphere to soothe the hearts of the dying, bringing them peace and renewing hope to continue living, ultimately allowing them to face death with dignity. In the very end, Macaron neither suffers excruciating pain from her illness nor becomes oblivious due to medication, thanks precisely to the power of hospice care. Within the tea house, she heals others with her desserts and words while also being healed herself by the other kind beastkin and her sister. It is this experience of running the tea house that gives her the strength to confront death directly in her final moments. Hospice care simultaneously protects the families of those departing. Witnessing loved ones spend their final days with optimism and in meaningful ways often gives survivors the courage to move forward. Just as Ta'er and Assorted left the town together, hospice care empowers the living to have the courage to continue their own lives, rather than collapsing into perpetual grief.

I'm currently a senior in high school. Though I consider myself quite knowledgeable (compared to peers), having systematically studied hospice care back in junior high, book knowledge remains superficial. Actually "facing" a family member's death as a caregiver within the game felt truly unbearable. Unlike the various tragic stories I'm used to playing, Macaron didn't die in an accident or a heroic sacrifice; she wasn't suddenly smashed to pulp or tortured to death by villains in some dark corner. Macaron was sick, just as each of us might be in old age, watching the illness slowly eat away at her life alongside her family.

Just thinking about this is enough to sear the sorrow into one's bones. It makes me wonder – if I reach the day of my departure, how much dignity will my courage afford me?

Years have passed, yet the pain of parting has never lessened... Very well, let this pain stand as proof of all we experienced.