A very neat game. It does its absolute best to portray an often ignored in media and very real mental condition in the form of the main character Senua, who spends the whole game fighting with herself just as much as she fights everything in Helheim. The binaural sound worked incredibly well, making it feel like the voices in Senua's head came from everywhere and nowhere at the same time. However, in my opinion, by having a permadeath mechanic the game kind of shot itself in the foot. Since the player will lose all progress if it dies too much, the game simply cannot be too hard. This meant that in order to compensate, the game is almost pitifully easy, regardless of difficulty (which only affects combat), making it so I completed most puzzles first try and without really thinking. I particularly remember a section where Senua can't see and there is a lot of monsters lurking around which instakill you if they grab you. It was presented as if you had to be really careful, but I found it extremely easy to just run past all of them, virtually unmolested. Its a weird dissonance, how the game tries to make you feel as hopeless as Senua with all the gory and dark imagery, the annoying voices bickering while you do things, and the whole permadeath thing, but at the same time being so easy that you can just breeze through all the challenges and walk out unscathed. Combat is pretty fun though, if a bit simple. You rarely fight more than 3 enemies at a time, and enemies go down quickly enough that it's never too much of a chore to mow them down, but the animations and the crunchy sound effects make it all viscerally satisfying. Despite what I've said until now, Senua's Sacrifice is a good game which deserves all the praise it's gotten, and I'm very excited for the sequel.