While the game's definitely rough around the edges and has some issues, particularly early on, once you actually get going it's pretty enjoyable imo.
The Good:
The writing's decent, doing cosmic horror without being mega edgy or making me cringe is a big plus, and I'm actually kinda interested in what's going on and going to happen next. The character's have been decent, no one really sticking out as amazing, but they serve their purpose. The comedy's not really in your face funny, but I've definitely been amused by some interactions.
The main character also has a decent variety of options and choices he can make in scenes, some superfluous, while others seeming to affect at least some things. On top of this, you can change your character's past and unlock perks, some of which change or add various dialogues. One of the perks is your character having a ponytail and anytime it's mentioned it amuses me. There was definitely a lot of work and care put into the variety of choices in this game and I appreciate it.
The maps are good imo, with a decent amount of little hidden loot or items around and most aren't too big or too small. The first big city you get to, The City of Beginnings, is much larger than any other up until then, but that's kinda the point. Every other town you'd been in was more or less a small village and gave a decent tutorial of what how towns work, so when you get to the big one you aren't too overwhelmed.
The Okay:
Combat is the area I personally find most lacking. Granted, that may have been due to the build/perks I chose, but so far it's mainly just been me attacking and getting attacked with no real strategy involved. I've just recently gotten my second character, so maybe combat will open up some more now, but so far it's been rather bland. If it was due to my perk choice I find that an issue considering how early on in the game you choose perks you don't really know how combat "should" be.
The Bad:
One of the other reviews mentions the lack of MP healing in the game and it's something I have to agree with. If you have a mage build with no alternative way of regening HP and your damage is only good when using skills, I'm honestly not sure how you're supposed to progress. This is especially true since at the beginning of the game, the blood mage has no weapon to use. Maybe you aren't supposed to progress and you should have chosen different perks, but that leads me to my next point...
Certain perks can completely ruin a build without realizing/knowing they will until after you've taken them. I'm lucky that I save in multiple slots and have backups so when this happened I just reloaded to a couple of minutes beforehand, but considering how early you can take these perks and how so far I've found no way to remove them, it's an issue, especially if you only use one save slot.
Finally, the fact that monsters can be encountered both on the overworld and randomly by walking isn't really fun imo. It makes backtracking a lot less desirable and makes the actual areas where you fight monsters feel a lot larger and more tedious than they really are. Some way to bypass those random encounters (maybe ala repel from Pokemon) would make exploration a lot more fun imo.
Edit: Originally the negative section talked about crashing and glitches the game had and I even had a warning at the beginning due to how often battles crashed, but since this review was written, the dev has significantly improved this. I've not had it crash once on my current playthrough and only had it minorly glitch out a couple times, so kudos to the dev on that.
Overall, there are issues with the game, and the fact that they're most prevalent at the beginning can be a big issue, particularly to newcomers. I'm lucky enough that the build I chose was more than good enough to progress, so they didn't affect me nearly as much. I played through about twelve hours of the game and honestly have enjoyed it so far. It definitely feels old school, and a bit too obtuse and punishing like those old games are, but once you know what you're doing it's pretty fun.