Madison Karrh's booth at Summer Game Fest 2022 was on the far right side of the demo area, hugging a wall at the front of the small industrial space in downtown Los Angeles. Her game, Birth, was one of the first projects you'd see after grabbing a swag bag, but it was easy to overlook in a sea of neon pixels and mainstream names like Street Fighter, Cuphead and Sonic. Birth is a thoughtful game of bones, puzzles, loneliness and decay, rendered in earth tones and captivating, hand-drawn vignettes. In a Day of the Devs cluster at Summer Game Fest, the Birth booth was a bubble of respite from the fast action showcased on surrounding screens. "Showing Birth at conventions feels like putting my whole, raw, beating heart on a table in front of a bunch of strangers and asking if it is enough for them," Karrh told me a few months after Summer Game Fest. Birth is, essentially, a game about death.