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Released 5/21/2013.
Duration: 3:36.

Listen on Bandcamp.

Also released on UNDERTALE Soundtrack, UNDERTALE Soundtrack (CD), UNDERTALE Collector's Edition Soundtrack, and UNDERTALE Complete OST.

Tracks that Heartache references:

• Enemy Approaching by Toby Fox

Tracks that reference Heartache:

From Official Discography:

• ASGORE by Toby Fox

From Licensed:

• Nascency by RichaadEB
• Catharsis by RichaadEB
• What Have I Done? by Amie Waters
• Heartache by David Peacock and Augustine Mayuga Gonzales

From Fandom:

• In Darkness by NoteBlock
• A concert just for me by pizzagremlin