Specialization points are for starting a new game. Just press „new“ in the main menu to see the options. You‘ll get a lot more points upon finishing a full run though.
I agree that the medications need a bit reduction while the game is closed. You can however completely avoid them by not leveling identity. The medications are for all following hosts not depending on the steps of the current one. Humanity is fighting back against that.
I'm out I'm afraid - I went to work for the day and when I came home to check my progress, every single host had 5-6 medication stars on every single location. By the time I cleared every host, the first hosts I cleared already had 2-3 locations with medication again. It's completely killed the game loop for me. I enjoy the Identity part as a part of my kink too, so it's a shame that this mechanic is punished in such a way.
It was fun while it lasted.
