Have you seen this year's I Saw the TV Glow? Same director. I thought
WARNING: "we're all going to the world's fair" spoilers below
We're All Going to the World's Fair was good capturing of alienation and pain, and I totally missed it was a trans-allegory. I still think it works well as a story of alienation, though it's been a couple years since I saw it. The theme of I Saw the TV Glow seems much more difficult to miss. Would recommend.
It is high up on my list of films to see. We'd discussed watching it tonight but instead opted for the directors earlier film which we also had been meaning to watch.