dropout. is a very truthful depiction of a dissociative disorder, mainly derealisation, that I saw myself reflected in. Going through these episodes is to see yourself push away the people you care about; to see yourself be the architect of your own self-destruction. It is to see yourself become isolated, because you know you're likely to do it all again, so it will hurt less if there's no one to care about and no one to hurt because they care about you. It is so see yourself become worse, but being unable to stop the spiral. 

And it's not something that will be 'solved' during a visual novel of a few thousand words - perhaps it never will be. But it shows an important step: letting someone care. Even while you're still becoming worse and finding something almost like safety in the delusions. 

On the audiovisual side, the sprites are cute with a limited set of expressions that reminded me of the disso stares of the kitties in Night on the Galactic Railroad. There's also an element of superimposed real cat pics, which might seem goofy, but with how derealisation distorts reality I'd guess these are partly an artistic choice to portray this detachment of perception. The music certainly has the vibe of what the MC creates as part of dealing with the disorder, so it lends itself well to the dreamlike atmosphere of the narrative.

Finally, I'll mention that the writing can be a bit, like, Tumblr/Gen Z-core - but it fits the way the character acts and thinks, so I see this as a pro.

Thank you to the creator for showing such a vulnerable side of something so difficult to live with. It helps others understand, and makes it a less lonely experience.