
Game runs pretty well without much user input (except for forcing the game to run on Scout to run it natively)
Changed all the visual settings to Medium for a consistent 40-60 FPS, the game will run just fine on High but it will fluctuate more between 30-60 FPS.
The game runs fine for the most part, I would recommend running the game with all settings on Medium for a decent and consistent framerate. I only encountered two minor issues: the section where you have to screenshot the level generator using Steam's screenshot function does not work but this doesn't matter because the game has a bypass for this (a camera in the corner of the room) so it is still fully playable, the other issue is that when you enter Room 233, the game drops in FPS immensely but only for around 5-10 seconds, and it will promptly return to normal values.

Create manual controller layout
Random FPS drops in certain areas