Really appreciated that you included "fawn" in your list of trauma responses. That one gets missed a lot. I also liked how the four trauma responses represent survival tactics because that is exactly what they are and I've never seen anyone else use them that way in gameplay.
Hope you consider expanding this game! I'd really like it if I had more of a chance to grow dependent on the original stat build so that post-op could feel more devastating.
P.S.
"Oh what a beautiful monster I've made" is my daily affirmation now.