Not at all? Its not unbeatable, its hard sure but its not unbeatable, I mentioned my strategy earlier in the thread, but those issues you listed aren't that bad, its easier to manage those.
The real difficulty is Sammy in your lap randomly, and Poppi Bombs above you. Sanity can be empty, but if it is, you can't hear the poppi bomb above you or if the essence valve opens. It's just juggling those things, making sure you're attentive. I've lost all my runs (save 2 to power downs from 4 things being broken at once to long) because of Sammy appearing in my lap WITH a bomb above me and shaking her off takes a few seconds the bomb uses to explode. Unless you catch it asap, usually leads to death. This is the one really dangerous RNG BS thing in the whole stage.
You can still hear Maddie (thicc mom fox) open the door and talk to you, and the moment you do, you use the microwave and shut the door ASAP, then back to Ari. You can keep on her and every few moments (like 10-15 seconds) to check for a Poppi Bomb or checking the color status bar for if something is broken.
Maddie if shes blocking your camera by the way? Unless shes infront of the power switch (when off) or essence valve (when open)? you can ignore. If shes blocking your view of Ari, Ari is still stopped. (as of current patch, this could be changed/fixed. But I hope its not, given you still can 'see' her.)
Also I've said it before, Ari's path? Doesn't change. Unless they update it to also be RNG in the future, she takes one set path, always.
Just keep watching around, use the plushie sometimes to get some sounds back, but its not needed fully, just keep your wits about you.