- Cliché Storm: To the point where there are three terminally ill characters! Well, it is a Trope Maker for this kind of VN.
- Older Than They Think: Think that the Brother–Sister Incest flavor of romance narratives in Japanese media started with the likes of Oreimo, Ero Manga Sensei and the like? Nope! This is the Trope Maker.
- Once Original, Now Common: While the story is still compelling, but as noted this game popularized many VN tropes that someone playing it now would consider overdone and cliche.
- Ship-to-Ship Combat: Averted. What little fandom exists for this game is surprisingly amiable about the idea of the main character ending up with either Kana or Yumi.
- They Changed It, Now It Sucks!: Some fans view the new 2004 edition, which was fully voiced but had the art completely redone by a different artist, this way.
http://tvtropes.org/pmwiki/pmwiki.php/YMMV/KanaLittleSister
FollowingYMMV / Kana: Little Sister
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