I love the descriptions, the rooms are short and evocative, the focuses are interesting and varied, the obstacles are weird and fun.
Altogether I really get the feel of the sense of a fever dream of an adventure, dazed, reality slipping until death. The distancing effect created by the nonstandard player/character narration helps this. This also feels like a good match for random generation, of course.
This makes good use of the panic system, and the modifications to it seem great.
I'm a bit worried about battle, as in does the character have weapons? You can find some, but they seem quite rare.
Also, as a player I might require a bit more handholding with the rooms, in general. Are they mainly fluff? Of course in rpgs nothing is just fluff. But to guide the mentality of interaction with them. This of course is in conflict with the distancing language of the rules text, to a degree.
But a cool, cohesive peace of work, a fun take on random generation of adventures.