The central gameplay mechanic of the game involves players guiding the twins as they experience recollections and visions of what had transpired in a series of scenarios spread across three episodes, and piece together the plot by watching them unfold, with each individual having different interpretations of what happened. The twins share a supernatural bond that allow them to telepathically communicate with each other, and experience visions of past events which often manifests in vivid detail. state of Alaska and interact with its local residents. Besides their old home, which is maintained by Mary-Ann's friend Sam, the twins will also revisit parts of their fictional hometown of Delos Crossing in the U.S. Players control a pair of 21-year-old American twins, Tyler Ronan (voiced by August Aiden Black) and Alyson Ronan (voiced by Erica Lindbeck), as they revisit their childhood home following a traumatic event which resulted in the death of their mother Mary-Ann Ronan and a decade-long separation from each other. Criticisms included inconsistent storytelling and lack of engaging gameplay.

It received generally favorable reviews, with critics praising the complex characters, voice acting, narrative design and setting, as well as its competent handling of culturally sensitive subjects such as transgender topics. A trans man was cast as the voice actor for Tyler Ronan, of the two main characters, who had transitioned during his time away from his sister. The developers consulted with expert groups for its themes, notably GLAAD, a non-governmental organization (NGO) monitoring media coverage of LGBT people, to ensure authentic and respectful portrayal of LGBT characters. Since it was announced in November 2019, the game has been noted for being the first AAA video game to feature a transgender person as a main character. A recurring theme of the story is the fallacy of memory, as the narrative explores the twins' childhood trauma and how they may each remember pivotal moments differently. It follows a pair of twins, Tyler and Alyson, with the ability to communicate with each other through telepathy, who reunite after ten years in their hometown in rural Alaska and investigate the death of their mother.

The game consists of three chapters released for Windows and Xbox One in late 2020. Tell Me Why is an episodic adventure game developed by Dontnod Entertainment and published by Xbox Game Studios.

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