Philosophical statements aside, Hateris actually succeeds as a game for several reasons. One is that, because the game is not random, getting even one more line than on a previous attempt requires you to try a different tactic, or approach the game with a different strategy. It’s clear that Hughes knows he’s onto something there, because he’s implemented the ability to replay previous games. It’s quite fascinating to watch the current record (22 lines), and analyze the tactics used.
Following various comment threads on Hatetris, I also discovered that there was previously a similar variant called Bastet (bastard tetris–desktop only), and also that there is not just one, but there are two playable versions of Randall Munroe’s vision of hell.