I had low expectations, was absolutely blown away instead. 

Obviously, its impossible to do a true horror game, when you are primarily trying to satisfy someones fetish, however there were some scenes for example the first time I entered the ballerina room were I truly felt a bit of "oh, I don't want to stay here at all". 

Also content wise this RPG is very good, there are 5 endings and a gallery room for all scenes. I am very hyped for the sequel "Annette"