Perhaps leans in too hard to the frustrating angle of its own gameplay and themes at times, what with constant coin flips that lead to your untimely demise and whatnot, and I don't think every ending is a winner, but Fear & Hunger is a determined and uncompromising in what it's trying to express.

Note that you will likely game over many times and have to restart many times to make any headway at first, and even then it can all go wrong very fast and suddenly, but if you have the patience for it, there's not a lot of games that offer the same high stress, brutal atmosphere this game goes for. Certainly with not this much care put into it, at least.