The game gives the dark, scary feel of a good horror/blood'n gore movie without the innocent victim protagonist that ruins the whole mood. Instead we play a thogh convicted murderer who rather blow the monsters to minced meat than cower in a corner or trip over invisible treeroots.
I must say that I just love the controls (Max Payne-style), the movement is pure bliss to play and makes the massacre of monsters an efficcient balet of blood, bullets and intestines. You can switch between 3rd person and 1 person with the square button (sort of like MGS2 but the view you pick sticks till you hit the button again).
The only downpoint so far (I haven't finished the whole game yet) is that switching between weapons is slow and cumbersome.
You also get to choose path, If you want to play a good guy, neutral or bad guy (like the dark and light paths in Knights of the Old Republic) and get a different ending for each path.
The mosters are well done and very thought through you can see that there is a lot of effort put into making the monsters as livelike as possible.
All in all I give it a 9 out of 10 Well woht the money since replay worth is high because of the awesome action.
http://www.thesuffering.midway.com <--Official site.