Paolo Pedercini is a mad bastard, and the McDonald's game is his sharp, procedural satire of how fast food is a corrupt industry by necessity. The game is set up so that you cannot win without compromising. Try it, you'll see. While you can maintain mild growth without using hormones or genetically modified crops, your bosses will not be satisfied. To really succeed, you have to employ what some might call "unnatural" means, though at Corporate, they call it "McFriendly growth measures".
The game is drawn with a crazy flair, the blood splattered happy meal at the title screen should be some indication. There are subtle touches, like the joint perpetually hung out the mouth of a marketer, or the fact that some of your customers are men with beards wearing skirts -- a byproduct of the randomly combinatorial nature of the character generation system. Watching the constant flow of people getting their trays, then walking off, is sickly hypnotic; it's the core pulse of the game's system, where the commodities turn into cash and complete the play loop, and its also an abstraction of something that is going on all over the world, many times a second. The illustrations and writing are pretty on-point as well (hint: before you bulldoze the Amazonian village to plant more GMO soy, start a "McDonald's for the Third World" campaign).