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The place's main operation is heartmetal production, for use in naval weapons. The metals can only be obtained in useful quantity from letting them grow in human hearts. This result in the Soothe & Cooper Tonics, which are pain tonics that have minute quantities of heartmetal in them. When people consume the Tonics, the heartmetal will start to build up in their hearts. This will eventually kill the user, permanently. After that, their corpse will be locked into a longbox, then shipped to the Station for extraction.
But if you need to exchange heartmetal, for example in the Christmastide or the Officer story, you can also buy it for 1 treasure in the Iron Republic. Far cheaper than secrets if you wait for the shops to rotate.
Well doesn't that sound corrupted and manipulative. I suppose the people don't actually know what's in the tonics, or else they'd stop drinking them.
It doesn't explicitly say that the tonics actually kill them. It could be that they die of whatever condition causes the pain the tonics treat. It's still pretty manipulative.