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Could be satisfying with SFX and nice visuals in. Maybe a 1-2-3-4 metronome when the player presses spacebar, so that they can get ready.  Also, it might be worth it to incentivize players to create interesting and unique melodies so that they don't just spam the same note for high scores. 

Hey Daniel, thanks for your feedback :) 

The metronome to start is a great idea! I definitely add it in if I continue this.

Currently, spamming the same note won't get you high scores. Unless you spam them insanely quickly though since each beat has a minimum of 1 damage, maybe I allow it to do negative damage next time >.< 
But outside of trying to hit notes reaaallly fast, it does actually have incentive for players to make - i won't say beautiful, but at least half decent melodies as the algorithm will try rate the melody and scale the damage accordingly. If I remember right, it should be possible to deal either up to 16  or 32 damage per note.