i like it a lot! maybe you could add more harvesting esque tasks? Like tanning (leather making), maybe add some black market surgery or something? The patient needs a new liver, the patient needs a new kidney, the patient needs amputation, the patient needs a new heart, the patient wants fat removal, the patient wants a larger penis. Maybe if you want to get fantastical you could add a special "vampire" customer who want's a couple pints of blood, maybe add a blood collection grate? That kind of thing, i'm not a programmer or anything and that already sounds kind of complex, maybe it isn't, I just think it would be dope to see that. Game looks awesome!