I admit the opening and the first 2/3rd of the game were very confusing to me, in which I was having a pretty tough time following the story due to missing context. Though after finishing the story and going through the ending, I think it kinda makes sense if you consider approaching the story from the perspective of person with mental issues (schizophrenia and PTSD in this case, I think?). Almost as tough as the first chapter of The Sound and The Fury, though not to the level of random rambling of Faulkner.
The art and music really suit the story with theme of death and guilt.