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That is really hard. I could only barely get 20 on normal mode. I like the variety of enemies and how it changes over time.  It keeps the game from feeling tedious. Others have mentioned it already, but recovery items or more health might be a good way to show some mercy to players without removing the stress of avoidance. Other than the hopeless difficulty level, it was a fairly enjoyable game!

Thanks for playing! The difficulty is definitely something I'm going to work on, and I appreciate all the different ideas people have been giving me for how to address it.