Lisa: The First is an exploration game crafted in RPG Maker 2003, reflecting a Yume-Nikki style of gameplay. Released on October 9, 2012, this title serves as a precursor to Lisa: The Painful. Players journey through the complex and often dark landscape of Lisa Armstrong's mind, navigating her experiences of trauma and abuse inflicted by her father, Marty. The game's narrative delves into profound themes of mental anguish and survival, inviting players to engage with its emotional depth.

The gameplay focuses on exploration and interaction with various environments that symbolize Lisa's internal struggles. Players encounter surreal imagery and thought-provoking scenarios that challenge their perceptions of reality and coping mechanisms. The combination of RPG elements and a compelling story creates an immersive experience that resonates with those who appreciate narrative-driven games. Overall, Lisa: The First offers a unique and haunting glimpse into the psyche of its protagonist.