I didn't know how an adaptation of this game would've worked until I read it, and I couldn't have if you didn't continue translating it, so thanks!
If you don't mind me asking, is the "Run with my sick" part of the title also another pun like the first half? When the game came out someone pointed out that needy can be interpreted as Ni-dy, meaning the title can be seen as 2D Girl Overdose. I've no actual idea if that pun is also in the Japanese title, or if it was just a happy coincidence with the English translation.