Add initial project files including .gitignore, LICENSE, README, and documentation

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+# Game Design Document
+
+Chemo-Sim
+
+## Elevator Pitch
+
+First-person chemo simulator. Painfully accurate. Darkly funny. You don't beat cancer — you survive the treatment.
+
+## Core Pillars
+
+1. **Medical Accuracy** — Symptoms, treatments, and timelines grounded in real chemo regimens
+2. **Dark Comedy** — Absurdity, gallows humor, and uncomfortable laughs as coping mechanism
+3. **Empathy Through Experience** — Players feel what patients feel, without after-school-special moralizing
+
+## Tone Guide
+
+- **Voice:** First-person internal monologue. Sarcastic, exhausted, occasionally surreal. Think: _Fight Club_ narrator meets hospital discharge paperwork.
+- **Humor boundaries:** Joke about the situation, never the patient. Punch up at the healthcare system, the absurdity of side effects, the cosmic unfairness. Never punch down at suffering.
+- **"No filter" means:** Honest about bodily functions, honest about fear, honest about the weird places your brain goes. Not edgelord shock content.
+- **NPCs:** Nurses are tired professionals with dark humor of their own. Other patients range from gallows-humor veterans to terrified newbies. Doctors are well-meaning but rushed.
+
+## Gameplay Loop
+
+```
+Arrive at hospital → Check in → Wait (minigames happen here) → Treatment session → Side effects kick in → Go home → Cope → Repeat
+```
+
+Each cycle = 1 treatment day. Side effects accumulate. Mental state degrades. Dark humor escalates.
+
+## Symptom Systems
+
+| Symptom          | Mechanic                    | Visual/Audio Cue                     |
+| ---------------- | --------------------------- | ------------------------------------ |
+| Nausea           | Screen tilt, vomit QTE      | Color desaturation, stomach gurgle   |
+| Hair loss        | Progressive visual          | Mirror reflection, clumps in shower  |
+| Taste distortion | Food minigame becomes wrong | Metallic sheen on food, wrong sounds |
+| Chemo brain      | UI corruption               | Text scrambles, buttons move         |
+| Fatigue          | Movement slows, inputs lag  | Heavy breathing, blurred edges       |
+
+## Minigames
+
+### Vomit (Phase 1)
+
+Keys appear in sequence. Miss = mess. Hit = clean-ish. Accuracy tracked.
+
+### Eat This Food (Phase 2)
+
+Food appears normal. You remember it tasting different. Choose what's "wrong" — taste, texture, temperature. Always wrong. Gets harder.
+
+### Conversation Memory (Phase 2)
+
+NPC asks questions. You respond. Later, they reference your answers. If chemo brain scrambled it, dialogue branches to confusion.
+
+### Hospital Navigation (Phase 2)
+
+Find your way while dizzy. Controls invert randomly. Screen tilts. Timer counts down.
+
+## Progression
+
+- **Day counter:** Week 1 through Week 6+
+- **Cumulative effects:** Each symptom has intensity 0–100. Increases per treatment. Some plateau, some don't.
+- **Regimen variance:** Different drug combos produce different symptom profiles. Random at start, player can't choose — because patients can't.
+- **No win condition.** You finish treatment or you don't. The game ends when the regimen ends.
+
+## Unlockables
+
+- Hidden minigames (absurdist: argue with insurance, decode hospital bill)
+- Internal monologue logs (unlock sarcastic commentary on each symptom)
+- Achievement names are dark jokes