Excellent game!! The gore was very well illustrated, and got under my skin at points. The gritty feel of the graphics really adds to the horror. By the way the best costume is the froggy raincoat.
spoilers below:
I think you missed an opportunity in the Azoth College. In the base game you can feed the Lily homunculus outside, but you can't feed the Lily homunculus in the college. That would have made an excellent death scene imo.