Live and drink, water-sib!
I love this game and its crazy procedurally-generated world. If you did too, and also like tabletop RPGs, allow me to suggest Vaults of Vaarn, which is inspired by Caves of Qud and does a great job at bringing the same feelings to your gaming table.
Qud's only real downside in my experience is its bonkers Discord community, which requires not only an application process to join, but the queue of applications is apparently so long it can take upwards of a year to be approved to join. I just want to talk about the game and what builds are optimal...
Luckily there's pretty good chatting about it on the big Roguelikes Discord.