Throughout the description, I find echoes of old discussions of what makes a good LARP. This game is something that is rarely if ever seen in computer games, but which is a characteristic often seen in well-regarded LARPs: an RPG that is trying to put you deeply in the shoes of a realistic character, and provoke real angst and pain through it. You have to make real choices, which have profound in-game consequences for yourself *and* those around you.
I'm fascinated by the description. I have less than no time to pick up a new game (and don't currently own a PS3 to play it on to begin with), but I have to say, this is one of the most intriguing-sounding games I've heard about in years. Ars may be right that there simply isn't enough market for this sort of thing, but it sounds to me like a game that a number of my LARP-but-not-computer-gamer friends might actually get into...