This is a great entry with a really interesting mechanic! I think it really adds a lot because it forces the player to make choices they usually might not make and makes the game much more replayable. The art and music was also amazing! The music/sfx really do a lot to convey the mood even though the characters don't have multiple facial expressions (and I fully understand why there are none, the amount and level of detail you managed to create with just one artist on the team is insanely impressive!!)
The pacing felt very good to me and the story was very intriguing for most of the game, however just like another commenter said, the ending felt kind of sudden/unfitting. It gave me the impression that you maybe had to cut it short to submit in time, would love to see an extended version of this game one day! And I especially think the "nerves" mechanic could shine even more in a longer VN with multiple endings
Also I want to say once again how good the art and music and sfx are!!