Composer Dan Visconti and creator-librettist Cerise Jacobs’s video game opera, PermaDeath, is a groundbreaking work containing an intricate web of theater, music, and cutting-edge technology. But the elaborate technical aspects of the piece are all in the service of a story about one central human character: a gaming enthusiast named Sonny, who is grappling with the pain and motor control loss of the early stages of Amyotrophic Lateral Sclerosis (ALS).