Details of participants such as names or information that would otherwise compromise their privacy has been redacted.

Hygieia as one of the ancient Greek healthy goddesses, whose statue is feeding a snake in symbol of “the edge of living and death”, thus makes snake of Hygieia to be regarded as one of paradoxical signifies. Such emblem fits in effect from game engagement to capacity to love of players in Chinese Otome context as this article revelled. With combination of game ontology and psychological theory, we adapt and extend mechanism model described game effect from interpersonal relationship perspective in Chinese Otome game context. Our research collected 444 validated Chinese player data while conducted SEM (Structural Equation Model) for analysis. The results reveled that: 1) Game engagement has an indirectly negative effect to CTL (capacity to love); 2) RHVA as one of the game elements, has a paradoxical effect including direct negative impact, and indirect positive impact through PE (positive emotionality) to CTL. Based on the conclusions, we call upon more attention on game subjectivity and possibility of game as therapy in latter research in the area.