I've got through a few years on easy so far (no one gets ill, only deaths from old age) just to understand the mechanics and it's addictive, but there isn't much 'end game'. Is anyone else playing? It's extremely impressive only made by one guy (and DirectX 11 in just 100MB!!) and mods should start flowing soon.
Humm... needs garlic... It´s like Age of Empires but with no empire, and no troops... Maybe later when developer(s) do something more towards progression. I read that it get monotonous once you understand the basics of the game. Anyway, it could be a contender if price is right...