Ỉ̵̞͑t̶̘͗̇'̷̠́͋͜ŝ̴̺̋ ̴̲̋͗n̴͔͎̏ö̷̻́t̸̢͖̋̔ ̷͍̯̇͘r̵͈̽̅ë̵͎́͑a̴̩̯͋̉l̴̰͊,̸̫̉ ̷̯͇͂i̸̭̰̋s̴͍̍͜i̵͍̔͘ṭ̷̇?̸̥͖̐

Í̶̮ ̴̆̓ͅm̵̦͙̐u̸̻̍͝s̴͔̲̎t̵̩̽́ ̵̡̗̀h̶͓̐ì̵͈͋d̸̈́͂͜é̵̱͋ ̷͓̘̑̀ö̷͕̚ŗ̸͍̃́ ̴̫̀d̷̼͖͌͐e̸͇̩͛f̸͓̞̍e̴̟̹͒͝ä̶̰̺́t̷̤̂́ ̴̡͖̿͠i̶͔̇t̷̉͜

POSTJAM:

There's an updated version with QOL improvements.

https://github.com/3top1a/Psych-ward

Controls

Move - WSAD + Mouse
Shoot rifle - left click
Shoot shotgun - left double click
m̵̞̮̈́̈́ā̷͖k̶̨͓̚e̸͖̜̾̆ ̶̘̓i̸̘̮̔̐t̶͍͐͝ ̸͈̈́̈n̵̮͑̉o̸̭̙̍͛ṯ̶̩̓̀ ̵͉͊́r̶̹͐ě̵̛̼a̴̻̋̈l̴̮̳͐ - Space

Credits (not all used)

https://freesound.org/people/Christyboy100/sounds/486092/
https://freesound.org/people/TheSubber13/sounds/239900/
https://freesound.org/people/Grez1/sounds/485802/
https://freesound.org/people/Jerimee/sounds/521777/
https://freesound.org/people/senitiel/sounds/220612/, http://senitiel.net

PS: My high score is 214 without exploitive strategies. Take that as a challenge.