Ok, warning, I'm not super fond of horror in general. I tried my best to stay unbiased.
Starting with the UI, the changed of background per different situations was smart, as well as the slightly moving text. There may have been a few passages where I think the background was working for the first half of the text but no the second one (too red or not red enough), but that can be a bit hard to gauge. I also think the moving text would have been a bit more effective if it had been a bit more glitchy (for the vibe). There were a few formatting issues (most visible was the passage where you don't end up napping).
I loved Erika as a character and could feel how tired she must have felt working to the bones at this job. I do feel bad for poor Dr. Skalvis still working at his age (how is he not dead...).
The ending I ended up getting was not as satisfying as I thought it would have been. I think I was expecting a bit more dread/horror-y having failed to jump over the rubble. I talked to everyone and relaxed, and since it seems to matter, I think I need to replay it and be a bit more of a dick?
Still, the game was really nice. I hope I don't get nightmares tonight :P
EDIT: ended up being a dick and it still feels a bit weird? I did like the variation in the text though, especially in the dream part. Maybe it's just not my type of game. Nice experience overall.