This may be the most insightful comment I've ever seen on here. Truly thank you for the thoughtfulness of this one. I haven't played many VNs myself so I'm curious as to the other's in the genre you would recommend with a dark twist like this.
You also got me really hyped about what's coming next, I haven't heard anything about Team Salvato before and clearly have not looked into it as much as you. Again, thanks for bringing this to my attention. And I completely missed though links, I'm appreciating this more the more I learn about it :)
Trust me, I really cannot name other VNs like this, not without ruining the surprise for you. The only one I can name is Saya no Uta because the game gets dark in the very first seconds, so you're not really spoiled for knowing that one. It's also on the short end, about the same length as DDLC, so it's not a massive 40 hours long VN like Clannad.
What you can do however is take a recommendation chart from here, pick a random game in it and play it. The very first one is pretty good: you can pick any game in the blue field, you cannot go wrong. There are at very least 3 VNs in there which have the same twist as DDLC. There are also nukige (basically porn games) like Wanko to Kurasou in there, but if you can withstand the adult content even those games have twists that can be real tearjerkers.
Have fun.
P.S.: Keep in mind that most VNs have the One True Route, which basically means that after you complete the game, a final route unlocks which reveals all the secrets of the game. You may want to use a spoiler-free walkthrough if you have problems with these kind of games.
Awesome, thank you for the recommendations. I've 'played' Narcissu and enjoyed it immensely as a kinetic (soundtrack is incredible) and have seen the anime adaptations of Higurashi, Shuffle, Tsukihime, and Fate Stay. My problem approaching a VN is kind of as you mention in the first paragraph, I just no longer have the time to put 40 hours into something so I appreciate the first recommendation a lot.
Looking into Doki Doki more after your post I found this on reddit which is pretty in depth if you haven't seen it. You definitely got me more interested in this than I was before haha.