I really like the central idea of the main character trying to go on with life, having become so desperate for contact that it's affecting some of his senses to such a degree - while others are not affected, primarily smell. There's a particular moment in the start where the smell of rot breaks through the fantasy which was very effective at showing that something was wrong. I think it could have been utilized for longer though; cute date interspersed with moments of such hints to wear down the MC's fantasy. But the way the story is presented as is, in quite a short runtime, isn't wrong either.
My favourite part of the presentation is how Ned's sprite during the imaginary parts is constantly changing between expressions, moving around, and such. Making him look alive to the player through being so active creates a stark contrast to when he's just... well, not. The use of music is simple but also does its job (even though the one for the imaginary parts sounds like it's from an airplane commercial). The main thing that would improve the presentation is to use two audio channels for the music, and just switch the volumes between them when changing reality. With the frequent cuts, the songs play for like 15 seconds each time, so we pretty much just get the intro of which the airplane commercial song's will loop in my brain for a week.
All around though, I liked it!