Only at life's end, you see that your whole life was a lesson, and you were a careless student at it.
There I stand with my lesson unlearned. The teacher is out. "Pack your books and leave". I would be glad to be "punished" by someone, to be "left without lunch". But no one will punish. No one needs you. Tomorrow, there will be a "lesson". But for others. And others will study. You will never be taught again.
(V. V. Rozanov, "Fallen Leaves", 1913, and my best effort to translate it to English)
In Pathologic 2 you play the role of Haruspex who left his hometown to study medicine. He receives a worrying letter from his father and takes the train home to find his father dead, his friends changed dramatically, and everyone thinking he has killed his father. A few in-game days later, things go bad.
The game is unfair. It is unfair to the point that you have a dialog option to say how unfair it is. There is always a chance that you loose even if you do everything right. You can spend your day running around the town protecting your friends to find out that Fortuna turned away from them and some of them are dead. Just like in a real life.
The game is hard. Survival mechanisms may seem annoying, but they are important for the experience. At some point, you'll find yourself starving to death. There is barter economy in the Town, and you approach a child to offer him/her marbles or a bug in a box, but you don't have enough. Still... you know, you can kill the child to get food. It is not about "possible or not", it is about moral choices. Just like in real life.
The game is fascinating. Striving to feed Haruspex and change (or at least see) the fate of the Town, I was constantly forgetting to eat.
The game is cruel. Surprisingly, not as cruel as real life: you will be punished and "left without lunch" in it.
The game is all about death.
This game is definitely worth playing.
P.S. For those who want the citation in Russian, search for "вся твоя жизнь была поучением".