I'm gonna preface this by saying that I couldn't get through this game, because its subject matter and atmosphere put me in a bad place. I played up to when I got in the police car with the creepy cop, and my fight-or-flight kicked in and I had to shut the game down. That's nothing to do with you or the quality of the game, I read the warnings, it's all on me. I won't think of docking score for my own inability to play it. :)
Now, the art. GORGEOUS. That "pixelart characters over simple model environments" aesthetic sends me to the moon. I adore the way this game looks. The VAs - those I heard, anyway - also sold their role, full props to them. And the game, overall, succeeds in what it appears to be trying to do, put you in that bad place to show you a bad situation. Very strong game. Props! :)