This is a very depressing game start to finish. I think the story is good even though it's incredibly bleak and doesn't have a happy ending. It doesn't have the best graphics but that is to be expected with an indie title. What is really cool is the asylum in the game is a great recreation of the actual asylum in Tuscany. I think the music and sound design were handled pretty well. The gameplay is pretty boring and suffers from the tedious and slow walking of most walking simulator type games. There is no sprint but most of the time you walk fast enough, though there are several times where you are slowed down as part of the narrative. I felt the pacing for most of the game was good up until the ending chapters where it really started to drag for no apparent reason. Overall I think it does a good job of telling a sad story about depression and mental disorders and just how poorly we understand and treat them.