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To Heart Columns is a puzzle game released in 2000 for the Game Boy platform. The game combines traditional tile-matching mechanics with characters and themes from the To Heart series, adding a narrative layer to the classic Columns gameplay. The primary objective is to align colored gems vertically, horizontally, or diagonally to clear them from the screen before the stack reaches the top.

The pace of the game gradually increases, challenging players to think quickly and strategically. A distinctive feature of To Heart Columns is the integration of story elements from the To Heart universe, which is uncommon for puzzle games on handheld devices of the era. This creates a unique blend of puzzle-solving with character interaction, giving players more motivation beyond mere score-chasing.

One notable mechanic is the use of character-driven power-ups that affect gameplay, providing an unusual twist to the standard Columns formula. This combination of familiar puzzle gameplay with narrative and character-based elements makes To Heart Columns a distinctive title within its genre on the Game Boy.