What starts as a stage-setting metaphor, "My mother used to tell me that her heart was a ball of yarn," soon turns out to be part of the reality in which With Love and a Major Organ is set. This world is much like ours but flattened; everyone wears gray and suppresses any emotion stronger than mild ambivalence. One way in which the two worlds differ strongly, however, is that in this movie, people's hearts are made of individual objects. Moreover, if you try hard enough you can even rip it out of your own chest, so things clearly work a little differently.
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