Choices and consequences are integral to the gameplay. Your life (and the lives of those around you) are dramatically affected by the decisions you make. The story isn't just about scares; you'll discover a rich backstory and uncover a conspiracy. Vivid flashback memories that you discover throughout the game are key to understanding why you are in the Sanatorium. This game puts YOU in the shoes of the main character. Thanks to the inclusion of voice control gender choice and a fully realized body model - when you look down you see your legs arms and hands - it feels like YOU are in the Sanatorium.