This is a rich, fully-realized work of long-form interactive fiction. In the game, you play as a 'plague doctor,' just arriving at a town stricken by a mysterious illness that keeps those afflicted from ever falling asleep -- slowly and gruesomely dying in a kind of waking nightmare. The world and story have elements of medieval period fiction, fantasy, and horror but it's really something all its own. Along with two other plague doctors, you navigate the sickness along with a web of other social and political issues. The story never strays from the town, Thornback Hollow, but this setting becomes a prism for looking out onto a much larger world.
Even though Parrish had been writing this for a couple years before the onset of the Covid-19 pandemic, that was of course fully the context in which I was playing this game. It's actually really amazing that this was written before the pandemic for how many resonances I noticed with the Waking Death plague. The doctors confront challenges like clearly communicating medical truth about the plague, even if it conflicts with local customs. (Spoiler - click to show) Toward the end of the game, when the doctors are able to develop and administer a vaccine, the scene of dealing with the townspeople's uncertainty and anxiety with the inoculation mirrors real-world vaccination debates. Among other takeaways, this game provides powerful insights into the effects of a pandemic on the psychic fabric of a community.
There are some really interesting choices driving the forking narratives of the game, largely balancing efforts to combat the plague against other pressing issues like competing religious factions and various sources of political unrest. Another interesting array of choices come from how you decide to approach the plague, ranging from coldly scientific to mystic and magical. This thoroughly developed body of medical theory and knowledge felt distinct and native to the storyworld and not just a rehashing of medieval medicine. I personally embraced the mysticism route and found it really rewarding.
My only critique of the game stems more from personal preference than anything inherently wrong with the game itself. Based on what I had read before starting the game, I was expecting this to be more of a horror story. While there was an eeriness pervading the game and some mildly spooky scenes, the game is not predominantly a horror story. The Waking Death definitely felt like a threat throughout the game, but it never came across to me as unsettling or chilling as it might have in a through and through horror story.
That said, this is a great game offering a substantial and engrossing story.