Even though I'm within the trans umbrella(genderfluid), I don't personally experience abuse regarding my identity (most likely because I'm not very public about it irl). However, I used to experience harrassement based on my body anyway (mild physical , s*xual verbal, then verbal fat-shaming). I only no longer experience that because I've mentally broke and I'm currently a shut-in, trying to piece myself back together. That piece of background being said, this game's protrayal of emotions was PAINFULLy accurate, in a good way. The visual represenation with the red-tint and the square was so impactful and resonated so much.
As a game maker, you have SO MUCH potential, and you are very underrated. However, one thing that I've noticed in your games, is that they are a bit difficult to progress. One reason being that, there is no indication between the black cutscene/scene change, and the actual ending. Another reason being, (not in this but some of your other games), It can be a bit difficult to understand what to do. Some hints, maybe after a while, would be helpful.