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This didn't stick with me, it's been years (release) since I played but I remember finding it frustrating because there wasn't that element of improvisational combat that there was with the variables of bullets + throwable weapons as in Hotline Miami. That said, I'd be happy to give this another go once the DLC releases. I remember liking the presentation, the music, and missing out on the "secret" final boss.
I have this in my library: very relaxing, reminds me of Cowbow Bebop, Akira Yamaoka (Silent Hill)
notes to keep handy for that future playthrough:
In order to trigger the Psychiatrist’s boss fight, you’ll need to make him angry. Whenever dialogue options come up, some choices will be highlighted in red. These indicate aggressive or rude responses which will be key in enraging the good doctor. You’ll need to take every opportunity to anger him at various moments throughout the game.
In case you miss it, there is also a hard mod, but only accessible trough the speedrunning option. There is also an option to fight him regardless of the choice you take.