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Hey. In quite new to IPL. After recently loving Pathologic I thought I'd give this a try.
I've killed the enemies in the early world and Death said I have to fill up 2 of her hearts. How do I do this? Do I go to her and spread colour over her as I do to talk to her, or do I fill up that heart on my leg I just got given?
Welcome to the forums
For filling sister's hearts you have to use either one of her two signature colours. For Death they are Emerald and Gold so make sure you have plenty of them in your palette (left side of screen). It is also a good idea to fill one or two of your hearts with Gold because that increases the "profit" - sister's heart gets a little more drops than you actually give her.
To fill the hearts, you have to touch the sister with colour as if you want to talk to her and a screen with her sitting in the middle should open up, possibly after some talking. Then you have to activate drawing and draw the Donor glyph with Gold or Emerald using as many drops as you want to give her. If you do it right, the sister does a short dance cutscene. In the bottom left corner, you can see how many drops you have given her on the red gauge. If I remember correctly, you have to give her 100 drops to open 1st heart and 200 to open second.
If you have trouble drawing Donor, check posts here since it seems to be a common problem.