This combines elements of open world games, text games, and RPG games. It's also a giant open world. It's easily over 200 hours of content with multiple outcomes and interactions for your character. The dialog can get quite out there, esoteric, and laugh-out-loud funny at times. Some parts like the dream and vision sequences can have alternatively a horror edge. This is quite a unique game, very well written and lots of emotional range. Your character levels up different emotional, physical, or intellectual traits as desired. The clothing and drugs acquired also adjust these same traits in certain ways. Certain tasks and interaction are dependent on dice rolls with ability points plus clothing points, much like D&D. Also, certain psychological thoughts you can dwell on can overcome certain obstacles or open up new areas, but since you're limited in how many of these thoughts you can install at a time, there's in no possible way to explore it all in a single play through. There are many crossing paths and outcomes, and whole different places can open up over time. There are religious, political and social themes your character can adopt in the game.
A really fun game, amazing sound track and visuals. It's really not a metroidvania though, like Dark Knight. It's really more of a 2D Platform version of Doom. But it's pretty awesome for what it is. Very retro 80s metal feel throughout, like old console games. I think it's great. Xbox controller works well, controls are responsive, and it's a blast. Reminds me of old Sega games.