Having been on the other side of this, this is very hard to play. I know what I'm supposed to do because I remember what I was asked but it's hard to do that. I also know what the right thing to do is but that isn't what I'm supposed to do. At every opportunity it's clear that I have to select the least compassionate and least ethical choice. I don't think I can play this through but thank you for making something about this, I feel like the practice of gatekeeping and the damage it did has almost been forgotten in the trans community. This should at least serve as a good illustration of what it is.
Edit: (spoiler warning) Decided to give in and do the right thing that was never done for me. That was so nice, I'm almost in tears I didn't think it would just end like that.