To Heart was adapted into a thirteen-episode TV anime series by Oriental Light and Magic aired between April and July 1999, and a second anime, To Heart: Remember My Memories, aired between October and December 2004. The English release of the anime uses the former format. The original PC release of the visual novel was titled To Heart, however the anime and the PSE versions later changed to ToHeart without any space between the words.

A special bundle of To Heart 2 and a PS2 version of To Heart was released on the same day. A sequel of To Heart, To Heart 2, was released on Decemdirectly to the PlayStation 2. The gameplay in To Heart follows a plot line which offers pre-determined scenarios with courses of interaction, and focuses on the appeal of the eight female main characters. To Heart is Leaf's fifth game, and the third and final title in the Leaf Visual Novel Series along with Shizuku and Kizuato. To Heart PSE and the PlayStation version had the adult scenes removed. A second PC version, titled To Heart PSE was released containing the PlayStation version as well as bonus games.

It was later ported to the PlayStation and given voice acting. To Heart ( トゥハート Tu Hāto ?) is a Japanese adult visual novel developed by Leaf and released on for the PC.

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