Choice: Texas is an educational interactive fiction game addressing reproductive healthcare access in the state of Texas. Play as one of five Texas women attempting to navigate the state's reproductive healthcare system. Although billed as interactive fiction, Choice: Texas is based on extensive research into healthcare access, legal restrictions, geography, and demographics, and is reflective of the real circumstances facing women in the state.

The game’s characters include Latrice, a Houston attorney with a long-term boyfriend, a high-pressure career, and a number of family obligations; Leah, a small-town bartender living with her parents after high school as she saves money and plans for her next steps; Alex, a promising high school student weighing her options for college and trying to live up to her family’s expectations; Jess, a young Austin-area professional looking forward to starting a family with her husband; and Maria, an LVN and mother trying to create a comfortable home and future for her children.