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When the Heart Flower is forced out, the body separates into two objects; one crystal containing the Heart Flower, and one crystal ball which has the suffering person imprisoned inside of it. The person can only return to normal if the Heart Flower is purified, and the crystals are put back together again. So far, only Pretty Cure has been seen purifying a wilting Heart Flower, and when it happens, the Heart Flower will start blooming again despite the owner's past feelings.
The Desert Apostles use wilting or negative Heart Flowers to form Desertrians, and it is stated that the more a Heart Flower is wilting, the stronger the Desertrian will be.
List of Heart Flowers