This game can really mess with your mind if you play it for too long. After about 2 hours straight of playing it I had to stop because off all the insanity things that had been happening. I was actually starting to hear things that weren't there and stuff. Like someone before said, if you into the survival horror type games this is a great game. You have to use skill to kill enemies while solving puzzles. The insanity effect is a great new thing for gameplay. It switches controls around, makes pictures bleed, statues move, etc.... I had it tell me one time after i finished a level that i had beaten the game, but in all reality i was only 4 levels in. It's a sweet game in my opinion, definitely worth a look i your a Resident Evil fan.