At that time I was playing on a 13" Macbook Air (2560 × 1600), so not quite 16:9, but there's probably something that can be done to pin the scaling ratio. Looks great fullscreen on my larger 3840 × 2160 monitors!
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I take it back, don't rebalance anything! Coming back to it today, I focused more on the causes than the symptomsand was able to complete the game in one go.
What I think is masterful about this game is that it conveys the importance of things like sleep and social interaction in maintaining quality mental health. There's more to survival than begging and food.