Oh yeah, it's absolutely not for everyone, both gameplay-wise and just the sheer amount of weird body horror shenanigans. It's still an RPGMaker game and that shows in a lot of ways.

I love how the endings were handled - even the two "best" endings still have some heavy undertones ("there's no coming back from the nightmare but we can make the most of it and rebuild"). I can't get spoiler tags to work so I'll hold off on anything else I wanted to add here but there's so much more to it.