so grateful to have a nice lil adaptation of this title on Playdate!
some adjustments that could greatly improve the experience:
in the original Dr. "Plumber Man" games, the pills spawn underneath the bottleneck, so they are movable from the instant they appear on screen. in your game, having the pills spawn in the bottleneck forces the player to wait until they descend before gaining the ability to move. tweaking the spawn point to better reflect the source material that this game is inspired by could take this game from good to great!
the GBA version of Dr. "So and So" also does a cool thing that you could try if you're amenable - TATE mode! using the device in portrait orientation would likely necessitate a new control scheme, perhaps using the crank for either movement or rotation of the pills so the other hand can just focus on dpad or face buttons. these changes are less important for the overall user experience, but could really set your game apart.
thanks so much for what you do