Very silly game, and the slightly weird art is kind of fun😆
For the screen, I'm not sure if you already know what the problem is (since you said you're fixing it). But if your images are on a Canvas, you can try setting the UI scale mode to "Scale with screen size." And hopefully that will fix the scale!
One more point I'd give as feedback would be to explain a bit more context. Maybe you can just explain in the itch.io caption. I was a bit confused bc I didn't initially know what a Sanatorium is, and I wasn't sure if the item was a needle.
I'd love to play again if ever you end up testing it/make changes:P