While it's no secret that Tetris Effect has an absolutely phenomenal soundtrack (You can buy the soundtrack now btw), It seems how emotional things can get while playing is often overlooked. This is of course due to the games simplicity based on your preferred skill-level. Most people aren't typically playing at the highest difficulty and as such, it's very easy to get lost in the games music as you play. So when said game has tracks such as the above, you really get those moments of reflection that go deeper than the game itself.
Like damn bro, it's just clearing blocks, it shouldn't be hitting this hard.