This game creates a small world inside a little mining town in Appalachia.
It considers not only what actions you take but what actions you don't take, and the story will continue without you if you, maybe quite wisely, choose to have your Character try and sit out events as they unfold.
The characters think about if you are kind or cold and respond accordingly and so you make choices without a dialogue box just by deciding what sort of impression to make on the people of the town. Options are carefully chosen and thoughtfully worded, so you won't run into many TTG "Glass Him" sort of options but instead will have to consider how your choices will impact beyond the immediate. As of episode 4 the horror is almost entirely the sense of something dreadful, or the knowledge of something secret and awful. So if you're looking for jumpscares, you'll be hard pressed to find them here.