The big price tag is part of the ad! That’s how you get mentioned and people speak about it.
Some idiots will also buy it, so there’s that, too.
I actually don’t care if a free to play game has cosmetics you can buy. They need to make some money some how. As long as you don’t get a real advantage by paying money.
Just make sure to take breaks for fresh air and get some sunshine. The game is supposed to show how a psychosis feels like and apparently they did a good job.