Lots of manual farming to improve your perks, and no clear signal to tell you when you should spend a day or 2 to push for the next tier of perks. Even then, you could be screwed by luck as this "strategy" game expects you to "get lucky" with "x7" random draws in order to progress.

Automation options are currently lacking, especially from a game that expects you to farm "serenity points" the same exact same way over and over again...

This game might get better in the future, or at least once it's "done" and a strategy guide is published. But at this point, I can't really recommend it.