I thought several times I wish Ben Stiller would direct an episode on a TV show somewhere about this. Like the author, he can blend grounded realism and comedy in his unique, transcendent way.
I think the stomach punching is much more creatively articulated on Severance. All of those severed workers are getting metaphorically punched in the gut constantly, so much so that they need to be severed to do the job at hand.
At times my career over the decades has felt like this.