Absolutely phenomenal game. Every ounce of it is artistic, and very well thought out. The medical system is extremely in depth and with each run you find yourself discovering completely new things in terms of just how brutally this game can fuck you sideways.
This game is oozing with personality down to the story, the visuals, and the sounds. GOD. THE SOUNDS. This is the first non-horror game I've played (well, technically non-horror) that has made me feel genuine dread, let alone pity for the poor little alien meat puppet that I'm forcing into death pits. The first time I heard the music that sets in whenever you're critically injured, I felt so much anxiety and panic. I felt like *I* was going to die.
Also, the poor little wheezes and whines your character makes when injured. Gold star. Genuinely should win an award just for that alone. I can't stress enough how good the sound design is.