Therapy with Dr. Albert Krueger — All 3 Endings Guide & Complete Walkthrough

Therapy with Dr. Albert Krueger is a psychological horror visual novel by dino999z, originally created for the Spooktober 2nd Annual Visual Novel Jam. Rated 4.7/5 stars from over 2,700 players on itch.io, the game invites you to attend a session of Dr. Krueger's experimental "Dream Therapy" — a treatment that quickly reveals it is not what it claims to be. Each playthrough takes roughly 30 minutes, and three distinct endings await depending on how obedient you are.

What is Therapy with Dr. Albert Krueger?

The game opens as a retro-styled advertisement for Dr. Krueger's "Dream Therapy" — a breakthrough treatment combining neuron technology with his closely guarded therapeutic principles. You play as the patient, guided through a series of sessions by the doctor himself. The pixel art aesthetic, unsettling imagery, and surreal minigames create a slow-burn atmosphere that gradually escalates into something much darker.

The game is free to play (name your price). An original soundtrack is available separately for a $3+ donation. It is available for Windows, macOS, and Linux — and playable directly in your browser.

Content warnings: jumpscares, loud audio, disturbing flashing images, implied violence, and cartoon gore.

Gameplay: The Therapy Sessions

Therapy with Dr. Albert Krueger blends visual novel dialogue with four recurring minigame segments that appear across each session. Your performance in these minigames — and whether you follow or defy Dr. Krueger's instructions — determines which of the three endings you receive.

• Math Section: A series of arithmetic questions. Answer correctly or deliberately wrong — this choice matters for your ending.
• Cups & Balls (Shell Game): Track which cup conceals the ball and make your pick. Again, you can choose to succeed or fail intentionally.
• Gateway to Your Heart: A guided meditation segment. Dr. Krueger instructs you to keep your eyes closed. You can choose to obey — or open them.
• Rorschach Test: Inkblot cards are presented one by one. Dr. Krueger discourages you from flipping them over to see what is on the back. Whether you flip them changes everything.

Save system: On your first playthrough there are no saves. From your second playthrough onward, Dr. Krueger offers a reload option before each section ends — so you no longer need to restart the full game to attempt different choices.

All 3 Endings — Complete Guide

The developer recommends experiencing the endings in order: Ending 1 → Ending 2 → Ending 3. There are two bad endings and one good (true) ending.

Ending 1 — Bad End (Default)

This is the ending most players receive on their first natural playthrough, making mixed or instinctive choices throughout the sessions. Simply play the game without strategizing and you will likely reach this ending first.

Ending 2 — Bad End (Full Obedience)

Be the perfect patient. Follow every instruction and answer everything correctly:

• Math / Cups & Balls: Score 100% correct on every question and pick.
• Gateway to Your Heart: Never open your eyes. Follow Krueger's instructions completely.
• Rorschach Test: Never flip any of the inkblot cards.

Ending 3 — Good / True End (Full Defiance)

Defy Dr. Krueger at every opportunity. Get everything deliberately wrong:

• Math Section: Answer every single question incorrectly.
• Cups & Balls: Intentionally pick the wrong cup every time.
• Gateway to Your Heart: Open your eyes every chance you get.
• Rorschach Test: Flip the inkblot cards over — at minimum, flip the last one.

Important: On the path to Ending 3, the game will appear to force quit at one point. This is intentional. Simply relaunch the game and continue — you are on the right track.

Tips Before You Play

• Play Ending 1 blind. The game is designed for a first-time player to naturally stumble into Ending 1. Do not look up guides on your first run — let the story land as intended.
• The Cups & Balls section can be tricky. If you are aiming for Ending 2 (all correct), this is the hardest segment. Use the save reload feature on your second+ playthrough if you miss a pick.
• When the game closes on Ending 3's path — relaunch. New players often think they have hit a bug. It is a narrative device, not a crash.
• Turn up the volume, but be prepared for loud audio. Sound design is central to the game's horror, but sudden loud sounds are present. Adjust your headphone volume before starting if you are sensitive to audio.
• Use the high-contrast and subtitle options if needed — both are available in the accessibility settings.

Connected Universe: Vincent — The Secret of Myers

Therapy with Dr. Albert Krueger exists within the same universe as dino999z's other game, Vincent: The Secret of Myers. If you enjoy this game's lore and atmosphere, the connected title expands on the world and is worth playing after you have seen all three endings here.

About the Developer

Therapy with Dr. Albert Krueger was created by dino999z for the Spooktober 2nd Annual Visual Novel Jam. Music was composed by Harmless, and advertisement narration was performed by Michael Brazeau. The game is localized into 10+ languages including English, Chinese, Spanish, Korean, Japanese, Russian, French, Portuguese, Italian, and Turkish, thanks to a team of volunteer translators.

Conclusion

At roughly 30 minutes per run, Therapy with Dr. Albert Krueger is one of the most efficient horror visual novels available. Three endings, four minigame segments, one deeply unsettling doctor, and a pixel art presentation that masks how disturbing the game actually is — all for free. Play Ending 1 blind, then use this guide to find the true ending. Dr. Krueger is waiting.