While this game has a very engaging story, particularly for the survival horror nut out there, it also has the clumsiest and most backhanded combat system I have seen.
While the game draws you in with wonderful cutscenes and a twisted sense of reality, it will spit you right back out with the difficulty level of most enemies compared to the fragility of your main character. With little force backing her attacks, she ends up getting hurt more than she hurts anyone else.
Health items are also rare and the ones most readily found heal very little. The emphasis is on avoiding fighting - and yet, sometimes, you are locked in small rooms with bad camera angles and have to fight a creature to leave the room. Sometimes you must traverse rooms of 6-7 enemies merely to reach an item needed to continue the storyline.
Your dog in game, Brown, is little help in these situations as well.
All in all, a great storyline. If you can find some cheat codes to render combat null, you might have a good time. Otherwise, don't count on it.