I adore the graphics, they're very nostalgic to me. Your game tells a really gripping story of psychological horror, anger and mental illness... very sad, but also fascinating.
The way the sounds, graphics and text work together to tell this story is deeply haunting, especially the sound effects near the end are disturbing. But it's the gameplay itself that is the most effective at making you go through the protagonist's turmoil, since as the player I was never really forced to do any of those horrible acts, and yet I felt like I had to, because like every game there's an objective to complete and I found nothing else to do.
Very well designed and a really cool interpretation of the theme!