Wow I really respect the focus on accessibility!!!! it was quite cool as an experience although I struggled to tell when the sounds which I needed to duck happened as they were less obvious than the left and right. And playing with my eyes closed did increase my anxiety a lot by playing it like that!
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You are SO right! The "3D sound" effect works significantly better with left & right than forward & backward. I was originally going to add a fourth sound for a rumbling floor you had to jump over, but scrapped this idea once I realized that having more than one forward/backward effect was just too much.
Also, I'm really sorry I made you feel anxious!