The sparse layout works without it seeming like a Word doc. I really enjoy the art as well, especially the rorsach ink blots.
This seems really interesting to me as a narrative device, but to be candid, I don't think I would personally use the tension points/super intelligences. As a Warden/DM, I'm someone who is already struggling to keep track of all of the mechanics while juggling the narrative and often for to call for a panic check or add stress for example (fortunately my players have learned to pick up the slack for me in that area). I really LOVE the table, as I think provides a lot of extremely useful prompts to ratchet up the tension and flesh out descriptions of the place or relationship between characters naturally. As a Warden, I have struggle to create a sense of horror and tend to drift into horror-comedy when coming up with something to say on the spot, so for me, I could see using this table as a stand alone aid In fact, I think I'm going to cut it out and tape it to the inside of my warden screen.
Let me know if you have any specific questions you want me to address!