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Kat and Ana roll out several rolls of different colored fabric with different patterns. Both of them proceed to cut these pieces of fabric into different shapes using their katanas. Ana uses some of the patches to create some flowers inside a planter while Kat uses them to create a horse, which she proceeds to ride.
Patchwork is played by using the Wii U's touch-screen and stylus. There is only one mode available at the start: Patchwork Puzzles. The second mode, Challenge Puzzles, is unlocked after all the puzzles in the Patchwork Puzzles mode have been completed. There are three difficulty settings, but the only one available at the start is Easy Mode. Medium difficulty is unlocked after all easy mode puzzles have been completed, and hard difficulty is unlocked after all medium difficulty puzzles have been completed. There are only ten puzzles available at the start, but more can be unlocked after the previous ten have been completed. There are 30 puzzles per mode for a grand total of 90 puzzles total.
The objective of Patchwork Puzzles mode is to complete the puzzle in the fastest time possible. If the player gets stuck and does not know where to place a specific piece, they can tap the "Hint" button on the button to show the general area where the piece goes. However, doing so adds 30 seconds to the player's timer. In the Easy difficulty, there is only one correct spot for the patch and patches cannot be removed once placed. In the medium and hard difficulties, there are several places where a patch can be placed, but there is still only one correct spot. The player can check to see if they put the patches in the correct spot by clicking the "Check" button. If the patches are in the correct place, a small red circle will appear on the thumbtack where the patch is. If a patch is not in the right spot, a blue X appears and the patch is removed from the area it was placed in. Unlike the Hint button, the Check button does not add time to the time limit.
After all 90 puzzles have been completed, the Challenge Puzzles mode is unlocked. In this mode, the player has a set amount of time to complete a puzzle from a specific category. The Easy Challenge gives the player 30 seconds, the Medium Challenge gives the player 60 seconds, and the Hard Challenge gives the player 90 seconds.
"We're Kat and Ana! Our patchwork puzzles are as cute as it gets, we promise!"