The start of this game takes place sometime after the introduction of LISA: THE PAINFUL. The player controls the main character, Lisa Armstrong. The story follows her descent into madness, which stems from the physical and sexual abuse inflicted on her by Marty Armstrong. The goal is to obtain VHS tapes of Lisa's memories while exploring the game's various zones.

Brad Armstrong does not appear in this game and doesn't appear to have a room in this version of Marty's house.