There is a lot going on in this game mechanically, and it took me several read throughs to really make sure I understood how the components all work together. And, while there's nothing wrong with that, as a one-pager, I could see it giving folks pause when considering whether or not to play it, and I really think this game would shine in a slightly expanded format (like a little 4 page 1/2 letter zine) that really lets you lay things out and provide some examples.

• Using the cards to build a map is a neat idea (I've seen many other ways of generating maps on the fly, but I haven't seen it done where the cards make up the literal map before.)
• I also really like the call out regarding medications and the impact to healthcare you run into if our systems just stop working...I wish you'd leaned into that a bit more even as currently it's presented as an option rather than a required choice.
• You specify that Players should make decisions regarding stats to use collectively, but what happens when different Characters want to take opposing action? Is there any way the game can support that?
• I would suggest removing the "goes mad" bit. That has some strong implications you may not want to force on players; sometimes keeping it to the vague "loses all hope" and let the Players decide what that means.