I had this on while I played the game. It was not what I was expecting: it is full of guitar with almost a classical sound. Ald-Amura strikes me as more of a soft synth place. I think the band took the approach of "Here are songs that you would hear in Ald-Amura" and that does fit. Ald-Amura is rustic and fantastical but not a high medieval fantasy place. 

I enjoyed this album. Having an OST fits in with Monster Care Squad's high production values.