I got my copy in the mail a few days ago and started playing and I like it. Let me get this out of the way right now, it is not in the same ball park as Alien: Isolation. A:I is better in pretty much every aspect. But this is definitely solid. If you're on the fence some random things I noticed about the game that I like and dislike.
-Graphics actually a lot better than I expected. Visually it's pretty impressive. Environments more than the creatures and character models though.
-There is no sprint button. At least that I've found. It makes sense for a game though, but I wish there was a way to move faster.
-Speaking of that, in areas where the creatures are, you have to move sooooo slooooow to not make any noise. And open doors extra slowly by holding your thumb stick very gently to not make any noise. It can become somewhat tedious at parts having to do everything so slowly.
-There seems to be no rhyme or reason why a creature will hear me and kill me sometimes. One time I opened a door very carefully and slowly and it just hears me and kills me when there was no creature in sight. I'll reload and do it again and I'm fine.
-The inventory works well at times and not as well for others. It has shortcuts for the flashlight and noise meter, but not for noise making objects you pick up to distract the creatures. So if they're fast approaching you have to hit right on the d pad then scroll over select it, then throw it. Wish there was a shortcut for every item.
-Overall the game captures tension well. You never feel safe. If you like scary stealth you'll definitely feel it in every part of the game. Even in safe rooms. I think(?) they're totally safe, but one time I left the immediate area of a safe room and somehow a creature showed up and killed me when I didn't even do anything to make noise and the direction it came in was from the safe room. I'm guessing it was just the animation of it and it didn't actually come from there, but I don't know. I'll have to test it, but in the game there are areas that have creatures and areas that don't. But I don't think these are technically safe areas. I still think if you make enough noise, they'll show up and kill you. But in some areas it wouldn't make logical sense. Like if you're in a large building in a room in the middle of a floor and make a noise, how is a creature from outside supposed to show up that quickly? I think the engine has it so you will die no matter where you are(aside from safe rooms) if you make enough noise, and it kind of takes some of the immersion out of it when you're in an isolated location with no creatures around and a sizeable distance one would have to travel to reach you.
-The story is more than a throwaway. It's not as good as the movies, but I am somewhat invested in it.
-The asthma aspect of the game seems to just add an unnecessary annoyance. Any time you're in a stressful situation, your heart rate goes up, you become asthmatic gradually and need to use an inhaler. You can only carry 5 max at a time. The game gives you plenty, but there were a few times I was cutting it close and down to my last one with some distance to go and just escaped a stressful area. Also, using the inhaler causes noise. A couple times it caused me to be killed because a creature heard it and killed me. But it only does that if one is very close to you.
That may sound like a lot of complaints/nitpicks, but I do like the game quite a bit, I'm having a very good time with it. But then again I do love the genre.