That was cool! The mechanics are fun, the art is charming, and the tone is at a nice low level of cynical detachment; I laughed quite a lot while playing! I particularly liked the reserved use of cursing, the sometimes flipped genders on the stock gambler sprites, and the pure consistency of The Man encouraging peoples' worst habits.
The coin that gives you extra health also seems to heal you to full health if you put off and on again.
Several objects, including the camera, don't align with the pixel grid.
All-in-all, fantastic! Great work!