Put some more time into it last night.
Made it to the Sewer Beast, boss of Chapter 2. I guess that's the wake up call when it comes to combat. I was doing decent enough with dodging but just not dealing enough damage. Went and leveled up some, should be able to take him out tonight.
I think the combat is pretty fun, the talking aspect is kind of a slog though, just slows the game to a crawl. The map is honestly kind of awful, hard to tell where you can go and where you can't. I find myself mostly wandering trying to get to where the game is telling me to go. No fast travel either so far, that was a pain trying to get from the sewers back to the hospital.
I'm still enjoying it though, the game has had a few moments that worked well and I hope it keeps up that way.