The moment The Nightmare spoke to me I immediately e-brake turned towards getting back on HRT. One demeaning cavalcade of psychosexual bureaucratic horror later, I successfully stole HRT from the pharmacy, immediately shot up and vowed to not do all that again next time and find another way next time, because I will be playing this at least one more time again. Frighteningly good at speaking to the "transfemme with ADHD experience" of "I will put out this fire. There is now another fire. I will put out this fire" happening indefinitely but it's not actually happening to me so I can actually emotionally handle it. Also great to see further expansion on the world of the past few games, genuinely lovely world-building, happily recommending it to other friends/pestering them with snippets out of context to entice them to check it out as well.