This was maybe my favorite narrative that I've seen so far.
That first jolt of the main hook - that all the characters were one person - was so fun. I loved that you didn't shy away from implications of it - that a congenital disease for one might mean one for all, that both romance and lust would exist, that personalities could be both very similar and wildly different and you can hand-wave it. I was really taken by the world created.
I did feel it was SUPER linear, instead of something more interactive, but that the narrative held up enough to justify it.
For me, the images didn't add too much - i think the overall darkness of them didn't lead to the maybe unsettling feeling you were looking for? 1-bit dithering is hard! I was excited to see it though since it was another game in the Jam that had that aesthetic.