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After two playthroughs (one I was a pretty good doctor, other I aimed for saving my wife no matter what) I have to say- this is a pretty good Papers Please - like ;)

There's one thing that PP did, and "Please save me" doesn't. I feel like "Please..." focuses on choice, and in "Papers" you could offset some of your "controversial" decisions, by being otherwise efficient at your job. 

From the other hand- I really liked the setting/ plot, especially, how some of the patients formed a bigger story together. It would be cool if some of the decisions had bigger payoff (I thought that saving the guy with the book would be reflected in the ending), but you had 4 endings already :) From mechanical standpoint the gameplay was solid. I knew what each element did, so I could focus on my decisions, not the interface.

Graphics were good, although I feel like the style of characters could be a bit more in line with the UI. That's just a nitpick though. Audio fit the atmosphere too.

As for your take on the theme- original! It was a nice touch, that you introduced different factions, and a personal stake, and a random element too.

Over all- I had fun playing your game! Keep up the good work.

One more thing- does the trolley problem guy affect anything else than the news on the next day?

Unfortunately no :( we had bigger plans for this game but couldnt make it in time.