After her family and brother died in the Great Hinamizawa Disaster, Kazuho gained help from distant relatives and went to live in a school dormitory. Kazuho lived in Okinomiya as a little girl and had dreams of joining the Hinamizawa school games club. When she gets nervous she calls out for her dead brother.

Kazuho is a very timid girl and gets confused easily, but she has determination to find answers. Her 'Wonder Alice' outfit resembles a light blue maid outfit with pink armor and gauntlets.and a black bow on her head. Her school uniform is a white shirt with a blue skirt, white socks and black shoes. Kazuho has short gray hair and wears a blue hoodie. (Translated from the official Mei website by DoctorDiablo.) Lost her entire family in the disaster in 1983, and she's currently living in a dormitory with the support of her distant relatives. Unfortunately for Rena, Tomitake and Takano still appear to be infatuated with Rena and fight over who gets to keep her.The granddaughter of Kiichirou Kimiyoshi, the former mayor of Hinamizawa. In the process, Rena, who is grateful to Keiichi for helping her, expresses her feelings toward him, though she isn't sure if it's part of the magatama's power. Fortunately, Rika lifts the curse before Keiichi can fall under its power, which returns Rena to normal. Keiichi finally manages to obtain the magatama after beating Rena and Oishi with Akasaka in a game of mahjong unfortunately, Oishi fumbles it and Keiichi ends up accidentally swallowing it as well. Everyone reasons that Rena must have swallowed the red magatama and sets out to stop her and find the white magatama, though it winds up in the possession of Tomitake, then Takano, and finally Oishi, each of whom gradually come to accept her love under the magatama's curse and refuse to relinquish it. Rika explains that the seal on the magatama has been broken, and that whoever possesses the red magatama will fall blindly in love with anyone holding its white counterpart.

During a picnic with Keiichi, Rena accidentally swallows one of the mysterious 'Fuwazaru Magatama' which falls from the sky, and begins acting lovesick.

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