00:05:066 (5066|1) - does it really needs a note here? I barely hear anything, also upper diff don't have a note here
00:11:291 (11291|0) - Probablemente quieras hacer esto un doble si 00:11:141 (11141|2,11141|3) es un doble; desde luego tiene más preferencia que 00:10:991 (10991|0,10991|1)
Pasa lo mismo con otras como 00:12:491 (12491|3) y otros sitios cuando hay dos snares seguidos, revisa esto en general
00:20:741 (20741|0,20891|0,21041|0) - might be a bit of a stretch but i think this might be just a bit too hard. i just try to avoid anchors on Hard especially over 180 bpm since they can be a bit difficult at times, especially when you have more options available. i'd move this over to 00:20:891 (20891|0) - [2] as a solution
00:28:241 (28241|2,28241|0,28241|3) - it is just a piano, no drum sound, the sound also not that loud that I think make it triplets is overkill
00:33:641 (33641|0,33641|1,33791|1,33791|2,33941|2,33941|3,34091|3,34091|0) - ok so im definitely against these being in a Hard, especially at 200bpm. pretty sure this also breaks a guideline where u can only double on 1/1 ticks during 1/4th patterns. i'd make these singles since i just think they're too hard at this level. you can leave the double at the end since its not violating the guideline.
02:04:841 (124841|1,124841|0,124991|3,124991|0,125141|2,125141|3,125291|3,125291|1) - same thing here if u agree with me
00:34:991 (34991|0,35009|1,35028|2) - for very similar reasons, would probably be against these too since i think 1/16th stuff at 200bpm can be challenging for players at this level. graces are typically ok but usually ok for things 180bpm and under. this doesnt fall into that criteria so I would probably not grace here for those reasons. doubling would be just as fine imo.
i've changed both notes at 00:34:991 (34991|2,35291|1) - into 1/2 LNs, same in 02:06:191 (126191|1,126491|2) -
00:35:439 (35439|0,35439|3,35439|2) - also i cant help but wonder why this is a triple? none of the other diffs do this and I think for good reason and thats because there isnt really a significant sound to warrant a triple here. it sounds like any normal kick tick so i'd just double here even if its the start of the chorus.
Minor sug - Maybe add 2 LNs on 00:56:863 and 00:57:010 for vocal since it's quite empty but yours is perfectly fine https://osu.ppy.sh/ss/18230214/7cfa
01:09:925 - 01:11:275 - Sug to change the pattern to this https://osu.ppy.sh/ss/18230210/0be5 as the notes on col 1 and 3 are quite congested and I feel it will flow better
01:15:175 - sug to move to col 4 because of heavy density on col 1 01:15:025 (75025|0,75175|0,75475|0,75625|0,75925|0,76225|0) - additionally it will mirror 01:15:475 (75475|2,75475|0,75625|0) -
01:18:341 (78341|3) - though there is a sound here, i would actually opt out from using here. its not very noticeable and I think the transition between 01:18:191 (78191|1,78491|2) - would be a lot nicer considering that its nice 1/1 break into the next section.
01:34:222 - I recommend changing this pattern to https://osu.ppy.sh/ss/18230191/36c5 as it would flow better and the jack will mimick the previous section 01:33:622 (93622|3,93622|2,93772|3,93922|0,93922|1,94072|0)
01:59:573 (119573|2) - move to col 4 to stay consistent with what you did on 01:58:373 (118373|0,118673|0,118973|0) - You could also move 01:59:273 (119273|3) - to col 3 to avoid anchor
02:00:041 (120041|1,120191|2,120341|1,120491|2,120641|1,120791|2,120941|1,121091|2,121241|1,121391|2,121541|1) - this very long trill col2-3 might not very well visually and you also not use long trill pattern before, I guess you need to rearrange some, subjective tho