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A few years before this came out, there was an explosion of Twine games around mental illness, and the trans experience. This is a game in this mode, with a range of adroit textual effects— mostly cleverly arranged sequences of links. At their best, these effects help you enact the protagonist's experience and mindset.
There are some sets of imageries that seem somewhat derivative of early works like Porpentine's, and the whole writing approach is to raise many more questions than it answers. Overall, it's well worth playing for a few well-crafted microscenes.