Hiya, here are the notes i took while reading this pamphlet!
oh my GOD you're making the PCs serve papers. already laughing then i'm seeing "worms: yes. worms: yes. worms: yes."
i really like the inclusion of the info on some "high-value" patients/potential victims -- plenty of hooks to carry forward in a campaign if any of them are saved (and the PCs aren't wormbags)
i often have a hard time tracking lots of moving parts on a map over time, but the sort of factory line style movement of patients through the process makes it a lot easier to wrap my head around here.
i like the acid/base weakness for the worms, it'd be cool to bake in some more clues about this weakness into some of the rooms (maybe the aquarium worms are dead and there's a bottle of... uhh... aquarium deacidifier nearby? i don't know much about how to write clues. or aquariums for that matter.) (also i might have missed a clue somewhere tbf)
...just got the "right as rain" thing. HAH
wicked sense of humour, novel setting, worms: yes. great work! really makes me want to house a bottle of maalox.