This game deserves the highest praises possible. The cliche'd debate about if "video games are art" ends with this game, as solid proof that games can provoke deep thought, discussion, and stir the emotion. The gameplay itself can be written off as a "walking simulator" where the majority of the game is just moving around. But the grueling resource-intensive time-management system of sleep, food, thirst as you walk is definitely one of the low points of the game. But combined with the atmosphere and story, a case can be made that it enhances the experience. But after you get used to it, you really do feel a connection to the town and the situation you're in. I played through a bit of the original Pathologic, and this game is a vast improvement. You can feel the same energy and artistic vision as the original, which is pretty rough around the edges. But taking a game with such sheer potential as polishing it this much makes it into a true masterpiece. The music is part of what makes the atmosphere so powerful. Its enchanting and alien, creating an anguishing environment to set the stage. Its bleak, and gets the job done very well. I cant even describe the writing, its monumental. It challenges thought and makes you think with poetic dialogue. Much of it has many twist and turns, though not as many as in the original. It touches on the conflict of the old and new ways of life, existentialism, and constantly toys with you as you're struggling just to move on to the next task at hand. Overall, if you want to test your patience and experience an artistic and philosophical ride, buy this game as soon as you can. Try and play through in one go so the story and its messages stay with you as close as you can (Finished my first game throughout a single week). Its a unique game, and I don't think any other game will match this game anytime soon.