The sequel maintains the high qualities of the first game. The script, a direct continuation of the story, is well-written. The tone changes slightly - where "Milk Inside [...]" was more dreamlike and surreal, "Milk Outside [...]" seems more immersed in the "here and now", although not without extraordinarily twists. However, most importantly, we still have a very convincing presentation of the thought process of a person with mental health problems. Thanks to the author's writing talent, even though I don't have such serious issues as the main character, I have no problem understanding her and empathizing with her.

Graphically, the game is more sophisticated than the original, but there are also callbacks to the style of the first one efficiently incorporated into the plot. The appropriately atmospheric soundtrack, just like in the first part, perfectly fits the tone of the game.

The story is engaging from beginning to end, the entire game is highly immersive and allows some people, including me, to find a piece of themselves in the heroine. The game is not long, which I think works to the story's advantage but it has several endings that encourage more than one playthrough.