This game completely captured me when I first played it earlier this year...what an experience. You are on a mission to kill God who dwells at the lowest floor of a great tower. The items/loot you get each run is randomised, as is also true with the floors. Your run could come to an abrupt end, or you could luck out with upgrades and become OP.

This game is near impossible to 100% without a guide.

Probably the best horror visual novel out there, closely followed by Spirit Hunter NG. The sound design, atmosphere and story are brilliant. Incredibly dark.

Best Silent Hill game in my opinion, and I have played almost all of the entries...which isn't a good thing to brag about with the games after Silent Hill 4.
Would give this a 5, if not for the sound design being worse than the previous game. Heather Mason is an incredible protagonist.