I play through this tiny zine periodically as a way of shrugging off depression. The mechanics and play are ridiculously simple, but I would suggest you resist adding anything mechanical to it. If you want to go heavier on the fiction, name your rats and describe their quirks. Ditto for your ship and the carp godling. Give each site 2-3 horrifying descriptors. THEN - maybe - give yourself one extra or one fewer die to roll if some of your flavor lines up in favor for or against you. But mostly just roll the dice, look at the pics, and do what the zine tells you to do. It's cathartic and fun.