I've played a decent chunk of the echo project VNs. So far I really like this one the most, and I think the premise is really good.
The echo project VNs generally have themes of characters with trauma and disabilities, I feel like this one really gets the point across better than the others. It's immersive and engenders a great deal of empathy for the characters. Having to listen to the stairmaster each time is legit. That's good storytelling.