Your comment about the game being surgical is not far off! The gameplay of "TerrorToma" was inspired by the likes of "Microsurgeon" and "Laser Surgeon: The Microscopic Mission" from the 80's, and I wanted to make a "Fantastic Voyage" style surgery game of my own. I wanted to take the concepts from old games like this and breathe new life into it.
The "grim dystopian future" wasn't on my mind when I convinced the setting for it. The game was supposed to take place in an alternate past, but I could explore it further. The game already felt grim from the concept of dealing with a bizarre infection by yourself with no doctors to comfort or guide you, so there's more to get out of it!
There are some flaws I noticed in the gameplay like the tension being rather lax in its current difficulty, I wanted the player to feel more pressured as the health goes down, but I didn't have the time to tweak it in the right places. There are some features that I had to cut, but I'm looking to add them back in post-jam once I make it into a full-fledged game.
I hope to hear what Phil says about the game so I can improve upon it further!