Ok, so that's not a bad game, especially given the uniqueness, but it had so many tiny problems, that it starts to kinda hurt after a while. So, that's a building/management game, but base game doesn't have a lot of building/furniture options, and there is no maintenance for cars or equipment. And management is not exactly deep enough - you don't see how much experience is required for level-up of staff, how exactly it affects things, how exactly anything affects progress, if at all. Sequence of orders for everyone is not defined anywhere, as well as reasons for any decision - for example, my surgeons used surgery on another floor, instead of one that was available on theirs. Flexibility of personal management is not great either - just a set of roles and shift, without specifying rooms, for example, can't make staff occupy two departments in single shift if they are idle. Interactions with patients are also not always great - you don't see history of their interactions, what and where affected them, who did incorrect diagnosis, you're unable to prioritise care for critical patients manually or order their transfer to anther bed when rebuilding. Patients I've seen so far don't vomit, bleed (unless brought in ambulance), piss, defecate on floors, they don't steal anything, don't fight. That actually looks like a great mobile game, sorta. It's not bad, just be aware of what to expect.
This is very grindy game, which is both a good and a bad trait, depending on personal preference. It looks good, sound is ok. Story and writing are fantastic, but translation may be a bit underwhelming. There are a good chunk of references to many different things, which is always welcome. Characters are absolutely great, for the most part. There are a lot of downsides, though. Crafting is inconsistent, and by that I mean strange design decisions. Some crafting stations come with recipes, some are not, despite not having any benefits from such a choice. Ingame database is something that should be in game nowadays. Darker humour is definitely not for everyone. DLCs are pricey, but absolutely necessary for understanding the plot, and ending heavy implies that both at least 1 DLC and sequel will be released. Gameplay may become a chore in the late game, especially with slow refugees camp buildup. But overall, I enjoyed it more than not.
Design is flawless. Soundtrack is awesome and well worth having in collection. Lore and plot are absolutely stunning. Combat is bad at beginning, but it gets better quite quickly, and continues to improve. BUT Gameplay itself is basically 2D Dark Souls, and platforming sections can be infuriating. Lore itself is hidden, and you don't have a lot of directions on what to do and where to go. Getting the true ending is a huge amount of hard work. I really suggest to keep expectations low to not be disappointed.