Keina's life support fails, transporting her soul to the VRMMORPG Leadale 200 years in the future as the overpowered high elf Cayna. Inhabiting a world she once created, she befriends the NPCs she designed as her own children.

The previously bedridden Keina Kagami finds herself in the world of her favorite VRMMORPG-titled Leadale-after the life support keeping her alive fails. Reincarnated in the body of her high-level character, "Cayna," she notices that the world of Leadale is different from what she remembers playing. As she comes to learn, two hundred years have passed since she last interacted with the world. However, this does not sadden Cayna-as it means that a new journey awaits her, filled with exciting prospects and unfamiliar faces all waiting to be discovered.—MAL Rewrite

Due to a terrible accident, Keina Kagami is forced to live on life support in order to survive. The only way for her to be free is within the VRMMORPG "Leadale." One day, her life support stops functioning, and Keina loses her life. But when she wakes up, she finds herself in the world of Leadale 200 years in the future. She is now the high elf Cayna, who possesses lost skills and OP statuses and becomes closer to the other inhabitants of this world. But among those inhabitants happen to be the "children" she made in character creation?!.—Crunchyroll