This was a great read, and I reckon I'd love playing this. The premise was interesting and would lend itself to some cool gameplay. In particular, the enemy and boss ideas were fantastic: the sometimes more humanoid enemies compared with the more machine/object-like bosses really gave the game a sense of inhuman, industrial scale. As the others have mentioned, some of the mechanics also added a real interest and flavour to the game.
The typesetting and design choices really aided the game's atmosphere. The textured heading text and angled subtitles, for example, gave an extra feeling of polish to the whole thing.
It felt like some of the wording was perhaps a bit vague, e.g. the final sentence of the "yes doctor" description, but that might have just been me. With more time, it feels like the game could definitely benefit from some more worldbuilding, to give a sense of what the place is and the feelings it should evoke in the player. Perhaps some example characters (plus short backstories?) could help with this too, or some example rounds of gameplay, as the others have mentioned.
Overall though, this was a great entry. Very original, well thought-out premise, bolstered by some interesting mechanics that were original, but not too complex to pick up. Well done!