Wow I really liked how creepy and sad and heartwarming this was all in one package!
First of all the Faith-like retro artstyle is great, and the designs of the characters are good for the most part.
I loved how the voices are all distorted and warbled, works especially well for the door-realm characters, and makes the player sound appropriately melancholic/desperate and the wife weak/sad/comforting. It kinda reminds me of the voices in Warhammer 40k: Mechanicus in a good way.
I also found the setup appropriately emotional, so good work there. And the way effects would overlay like the crying eyes and the snow were brilliant.
There are some issues I noticed though.
The screen shaking I think worked in some cases, but having it happen at almost every option seemed a bit much
There were a few spelling errors I noticed, "eyes" spelled as "ayes", "must" spelled "most", etc. Not many, but they were there.
I found the talking sound too loud for the character in the red suit, every other character is this sort of moderate or quiet whisper or laugh, but its beeping felt out of palce and was grating on the ears.
Overall though I really liked this one.