I love the mood of this game - great visual style and nice little enhancements throughout (the shaking text, for example). Looks like it could almost be a VirtualBoy game ;-)
I couldn’t quite figure out what to do once I descended into madness and couldn’t figure out how to equip the knife.
I do wish the music was a longer loop or changed when you descend into madness - it got a little grating after playing for several minutes.