The game is very atmospheric, enjoyable and not quite so old school in its execution. Sure it uses pixelated graphics, but it is very well voice-acted. It also has no loose ends I could identify – it has an answer for every question, anticipates dialogues, adds to them with each action by Kathy, respects timelines and offers subtle hints to progress the gameplay - not old school at all. The game it most reminded me of is Gabriel Knight, the first one, and that is a good thing, because I still find its atmosphere second to none. Kathy is a likeable and strong, but very human character and the story is decent, although perhaps the weakest part of the adventure. Altogether a very fine game I gladly recommend.
It looks great, runs great and is more or less like what the publisher is saying, an AAA looking title. The story is immersive, but not unheard of. The madness and psychosis are explored well, in my opinion, and the binaural sound really stands out as the game's defining feature. It can be rough around the edges - area sounds and music cut off and start unnaturally at very obvious in-game borders, bugs are present (doors you can pass through, focusing on runes through objects and similar). By far the worst part for me was the fighting. While at times immersive and clever, by the 50th same opponent (there are only a few different types) I was yawning and waiting for it all to end. All in all, minor grievances aside, it is an excellent effort and I sincerely recommend it.