No other game lets you feed people, to people.
Human skin hats? Check
Dramatic survival? Check
Sense of hopelessness interrupted by comedy and/or short sweet success? Check
Taking those who killed your friends as prisoners and harvesting their organs like the dogs they are? Check
Mental breaks that cause your colonists to destroy the entire settlement? Check
Mods? Oh hell yeah, check.
Edit: many games let you feed people to people, apparently, but I could not think of any at the time.
Edit 2: my top rated comment! To the moon! Thanks everyone!