A deeply unsettling setting that left me equal parts disturbed and depressed by the end.
However…
The previous horror I linked to was someone recounting what they remembered of an improv RPG one-shot.
The Sick Lands is objectively put together far better, better hits stuff that disturbs me and avoids things I’m pretty meh about (IN SPACE is science is more of an uphill battle for mysterious horror) and has a real conclusion…and yet, overall is less satisfying.