Age of Steam hooked up with Princes of Florence and its very limited actions and then had a really Euro baby that was delivered by the balls-against-the-wall Agricola, you'd probably get something like ITYOTD. It's painful, viciously strategic, and pared down to its brutal agonizing essence. I like it. A LOT.
In my second game I was nice and didn't starve two other players of rice which would have killed the majority of their people. For that I lost to both of them. Lesson learned.
TOTALLY UNRELATED SIDE NOTE: Stephen Finn of Dr. Finn's Games is trying to get some honest feedback on the design of his upcoming game Merchant of Death. And he's giving away a bunch of free copies of his great card game Biblios in a contest for anyone who responds. Check it out here and help out a great indy game developer.