Bruh, rough lol.
It's the weight of all these choices adding up though. So far, the most entertaining way to play imo has been to be as nice as possible. Save everyone where you can. It tends to really come into effect down the road.
I have been semi tempted to do a "bad/evil" run, but I rarely do that as is... and it wouldn't be something I would do until the game is nearing the end release at least.