This is the last game on the IFComp review spreadsheet without a review.
It's a short game, written in texture. It mentions violence, brief nudity and profanity but there's very little of each (so the author is being conscientious).
The concept reminds me a lot of the AI-generated fruit people videos I see popping up on my social media (I don't think this game is AI-generated, just the themes are common). A lot of them begin with things like this game begins with, a hospital room with two women fighting over one man, later kicking to a wedding scene (I don't know why hospitals show up so much in the ai-slop videos). Here, it makes sense, as I think it's drawing on the same tropes, mostly those of soap-operas, telenovelas and some of recent sci-fi.
There are multiple paths, all of which lead to the same general reveals but substantially different results. I thought the twist was interesting.
The game itself has a typo; it's listed as El Ruido (the noise, referring to the noise in the MC's head), but the search bar and title screen calls it El Rudio.