NEEDY GIRL OVERDOSE is a "multi-ending ADV" game that explores the daily life of "OMGkawaiiAngel," a young girl with an intense need for approval as she strives to become the #1 "Internet Angel" or streamer. Players are tasked with gradually increasing OMGkawaiiAngel's follower count as she navigates the ups and downs of streaming, using various "stress relievers" and dealing with her somewhat chaotic personality. The game challenges players to see if a happy ending is possible in this tumultuous journey.