Bloated, maybe. Vulnerable, unique and real, absolutely. The harsh distortion on each inhalation sounds awesome and makes you feel you're in the room with Ye. The autotune is so much more intimate than a guitar solo would have been and provides a personal moment with listeners in the center of one of the most cinematic records in recent memory. Bold choices like that are what make Kanye such a renowned artist.
I don't like the track as much as DIAND, Power, AOTL or LITW, but it's worth all of the hype. The album is just that good.