TL;DR: Game is fun, would recommend, needs a few tweaks here and their but amazing for being in the works.
I apologize for the long comment, but I'm new to the game and thoroughly enjoying it as it is as fun as it is challenging. Unfortunately, a bit too challenging but, hey, that's what gives this game it's personality. The characters are nice and have their own fun and quirky gimmicks to them, the gameplay feels nice and smooth for it still undergoing updates, and scenes from tapes are a nice touch as well. A bit of things I'd like to add from what previous users said before:
1. Misty seems to activate frequently, as stated by others, but I also noticed when attempting to use the plush to build back up sanity, even after shutting her door, still triggered her animation and death scene.
2. There we're unfortunate times when the computer went off at the same time as Nile's dream state, causing sanity to drain immediately.
3. I am currently on run 20, not sure if more than others, but for being at just 20, difficulty has required me to develop a strategy of all things to deal with Misty and the gang.
All in all the game is a fun and enjoyable playthrough to just sit back and relax too, 9/10 from me for being a game still undergoing updates, would recommend to those who wish to try it out.