00:19:353 (3,4,1,2,3,4) - i think this pattern was made for vocals, but it doesn't fit vocals nor instrumentals well because:
if you meant to match vocals as everywhere else after - vocals are on non-clickables (sliderends) which emphasizes them wrongly and gives feeling of missed opportunity because hitsounds are present, but you can't click for vocals.
if you meant to match instrumental here - you missed kicks
try to repattern it considering your intention
00:29:260 (4,5) - that's pretty much unnecessary spacing spike because loudest of these two is (4). would be better if you made spike on (4) instead to emphasize loud vocals here
00:35:818 (2,3,4,5,6,1,2) - considering spacing of 00:30:935 (5,6,7,1) - this pattern on guitar, i'd suggest you to buff spacing on here, because snares here are louder a lot and should be represented more impactful
01:19:214 (2,3,4,5) - related to general mod, but this square feels really too much in contrast with 00:12:237 (2,3,4,5,6,1) -
01:24:725 (2,3,4,5,6,7,8) - would be nice to add some ncs here to make followpoints look here less messy and divide patterns into 1-2s maybe cuz it fits song nicely
here's something i'd do as example: 
(also unoverlap last circle plz)