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I like this but I'm not 100% sure what's implemented. Am I supposed to be able the files? Should I be encountering enemies?

I like what you've implemented so far though, and I like the technical approach.

Enemies are not yet implemented, and the only memento which has an effect right now are the Old Sneakers - the Patient Files don't have any info if that's what you're referring to.

I'll remove this message from the game once enemies are added.