Who nose what I expected from this entry, but it snot this!
The weird choice of subject matter works surprisingly well for horror. The initial ridiculousness kind of bypasses the reader's defenses. Although the body horror feels quite mild, there's something unsettling about the way that the character portrait and text change once the nosebleeds start to happen. The character's anxieties feel very real and relatable - the nose picking feels like it could be any poorly-chosen coping strategy, which makes the game feel like it speaks to something bigger. This works particularly well in relation to the "verbs" the player is given - if you only have one coping strategy to get you through the day, every situation you encounter will be viewed in relation to it! Simply commuting, doing your work, interacting with colleagues feels almost secondary in comparison.
In a slightly Stanley Parable-esque fashion, the game's 'good' ending feels like the least satisfying somehow: why be good when it's so easy? This lets the player really get stuck in to making terrible choices with their character's personal hygiene and seeing the results.
The minimal graphical elements work well, and the music fits the tone perfectly.
Never been scared of my nose before, but your game has taught me how close my insides are to my outsides, and how easily that barrier can be broken. Well done!