§ Gamification, principled

Tracking chronic illness sucks.
Leo turns it into a game
that respects how sick you feel.

Earn XP for showing up. Light a streak when it suits you, regroup when life gets in the way. Spend coins on an avatar that looks like you — hearing aid, cochlear implant, glasses, the works. No leaderboards. No blame. Ever.

XP Streaks Badges Coins
+24 XP
Day 18
+12
Level 23
PRN Pro
§ 01The case for gamification

Gamification works for
chronic illness when it
celebrates showing up.

Not when it punishes you for missing a dose on a flare day. Not when it ranks you against strangers. Not when it implies there's a "you're winning" version of being sick.

Leo celebrates the verb you actually control: logging. Open the app. Mark the dose. Note the symptom. That's the win. A streak that breaks isn't a failure — it's a sentence with a comma. You pick the next word tomorrow.

Why we made it

≈ 50%

The share of people with long-term illnesses who don't take their medications as prescribed.

Source: WHO, "Adherence to Long-Term Therapies" (2003).

§ 02XP and Levels

Fifty levels of "you showed up."

Every dose, log, journal entry, symptom note, vital sign, habit tick, and focus session quietly counts. No quizzes. No "complete your profile." Just life, tracked.

Lv 1First log. Welcome.Lv 5Your first week of streaks.Lv 15Your shop unlocks.Lv 25Mid-mountain. Earned.Lv 40Legendary items only.Lv 50Cap. We tip our hat.
XP required ↑
LV 23
Player card

Showing up,
day 143.

XP → Lv 243,420 / 5,050
Recent gains
+8 · sleep+12 · meds+4 · journal+6 · vitals+10 · habit
XP comes from
  • Medication adherence
  • Symptom logging
  • Vital signs
  • Journal entries
  • Condition tracking
  • Habit completion
  • Project completion
  • Focus-mode sessions
  • Food logs
  • Activity logs
  • Sleep logs
§ 03Streaks

Four flames you can
tend without breaking.

Miss a day, that's life. Pick it back up tomorrow. Streaks on Leo are for momentum, not pressure — there's no message that calls a missed log a failure, ever.

Medication

27

days

Every dose, on time-ish.

Miss a day? Your streak pauses, it doesn't shatter.

Habit

14

days

Your custom routines.

Build it your way. Tomorrow's a fresh tick.

Perfect day

5

days

Logged everything you planned to track.

Not every day looks the same. That's okay.

PRN follow-up

9

days

Did it actually help? Tell future-you.

Tracked 2–4 hours after — for your own pattern.

§ 04Wardrobe and Shop

An avatar that
looks like you.

Earn coins by showing up, spend them on tops, hats, backgrounds, and accessories — including hearing aids, cochlear implants, glasses, and other assistive devices that should've always been in a game's wardrobe.

rare60

Patchwork hoodie

common

Hearing aid

Earned at Lv 1

rare80

Cochlear set

common25

Round glasses

epic220

Stargazer hat

legendary480

Galaxy backdrop

Representation

Cochlear implants, hearing aids, glasses, port covers, ostomy shirts, and more — built into the wardrobe by default.

Rarity tiersCommonRareEpicLegendary
§ 05Family rewards

Rewards that actually
live in your house.

Anyone in your family with reward permissions can pin a promise to the board. Movie night. Pick the dinner. The point isn't the coins — it's that someone noticed.

50 pts · Mom

Family movie night

Pick the movie. Pajamas required.

30 pts · Dad

Pick dinner Friday

Pizza, takeout, or kitchen sink soup.

100 pts · Grandma

Sleepover with a friend

Bring back stories.

Authored inside your family's Leo with the existing reward system — earned by the people you choose to share with, no "win" framing, no "freebies."

§ 06What Leo deliberately doesn't do

Five principles we
built around, not into.

  • 01

    No leaderboards. Ever.

    Ranking chronically ill people penalizes whoever's sicker that week. We will never ship one.

  • 02

    No blame for a missed dose.

    Streaks pause; they don't shatter. You won't get a sad-trombone push at 11 p.m.

  • 03

    No "you're behind" alerts.

    Notifications are nudges, not scores. If today's all you can manage, today counts.

  • 04

    No competitive elements.

    Co-op only. You're playing alongside the people in your family, not against anyone.

  • 05

    No predictions about your health.

    Leo shows patterns in what you've logged. We don't tell you what's about to happen next.

Beta, open

Show up.
We'll do the rest.

Leo is in beta. Join now and you'll help shape the gamification system itself — what counts, what gets a badge, what stays out. Forever, no leaderboard.

HIPAA-aligned · No leaderboards · No blame · No predictions