Finished it today, really on the short side of around 10-15 hours. I'm by no means a good shooter player (though the gameplay is far more dodge focused, which I am good at), and the game was on the easy side since it lets you heal and respawn once a biome if you pay the price. I'll put my thoughts:
Gameplay wise it's decent, the control is tight and the fighting is satisfying. Like I said, it's more akin to Nier's gameplay of dodging slow projectiles rather than focusing on shooting/taking cover. To the point that most fights are just dodging while aiming the reticule in the vicinity of enemies rather than proper sniping. The two major issues are that:
A. There are no builds, you can't really tailor the run to specific gamestyle besides run and gun (despite having melee).
B. Weapon balancing is really shit. The game has weapon variety (you can only carry one weapon during the run), but weapons with a large amount of ammo are always superior than anything requiring accuracy due to how hectic the combat is. I pretty much ended up using the same two weapons during each run even if I got stat-wise "better" guns.
One thing that is done well is that enemies drop money that disappears after few second, which makes cheesing enemies from afar not worth it in the long run, and encourages aggressive play and melee.
I found the first two bosses to be challenging but the bosses afterwards were pretty easy to the point I beat them all on the same run. Shame there aren't more bosses or different variations. You also don't need to redo bosses or go through the same areas besides the "hub" biome which is nice (and runs could go for more than an hour easily).
The runs themselves are well designed, I never got the sense I'm turbo fucked like in other rogue-lites after a tough battle (or by getting too many bad rolls), and I had the constant choice of exploration or exploitation. The game likes to throw a lot of choices with a chance of a (removable) debuff, but the debuffs themselves can be so game breaking I just didn't do any of them unless I'm really in a tight spot.
There isn't a lot of reason for me to replay the game to get the true ending (which involves random item collection and beating the same final boss). I pretty much saw all the game had to offer by now and until there's some full biome dlc no reason to dive back in.
One of the weirdest design choices in the games is locking some of the gear to traverse levels behind plot progression. This ends up being incredibly annoying when you are constantly put through areas with collectibles you can't reach yet.
Plot wise the game veers too much into psychological horror to the point it's not clear if the planet is even there or it's just the protagnist going insane from a hereditary brain condition. So at some point I just stopped caring about what happens since it's clear that there will be no conclusive answer since modern game designers take ambiguity as a sign of good writing rather than a hack tool to spam interesting plot points without an answer. Which is a shame, since there is a great progressive arc of the protagonist going insane and starts rambling about how the alien's technology is a gift from god. Edit: Actually thinking a bit more on the plot, at least to my interpretation, the game is actually an excellent allegory to inherited degenerative disease with a lot of the elements fitting really neatly together, way more than the usual gaming story attempts. So unironically great job here.
Visually it looks... okay. Honestly I stopped caring how many polygons there are in every strand of hair years ago, the game at least runs smoothly without any hiccup and I was never too overwhelmed by what's going on screen. Sound design is also alright. There's good feedback to the action.
tl;dr: Might be worth around 30$ if you want some novel run and gun experience on the ps5, definitely doesn't worth the massive markup price I paid on the israeli PSN store.