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

Listen on Bandcamp.

Also released on UNDERTALE Soundtrackabout 2 years, 4 months later, UNDERTALE Soundtrack (CD)about 3 years, 9 months later, UNDERTALE Collector's Edition Soundtrackabout 4 years, 3 months later, and UNDERTALE Complete OSTabout 7 years, 6 months later.

Tracks that Heartache references:

• Enemy Approaching by Toby Fox

Tracks that reference Heartache:

from UNDERTALE & DELTARUNE:

• ASGORE by Toby Fox

from Fandom:

• Showup by Viridian
• Bleat Like a Goat Mom by cookiefonster

from Beyond:

• Toby Fox Has Written Hundreds of Unique Original Songs by jan Misali
• MEGALOVANIA by Toby Fox
• A concert just for me by pizzagremlin