Not particularly. If I had to make a comparison... It's more like one of those older Roguelike games, the ones where you could get a Scroll of Genocide on the first floor if you were lucky, or end up getting nothing but rotten food until you die.
There are certainly things you can do to make your survival more likely, like learning how to avoid or disable your opponents most deadly moves and how to get a safe bed, but a lot is still going to come down to getting lucky in what items you find. Especially if you want to reach a certain individual before he dies.
As for the game's atmosphere, though, it is dark and depressing. The setting is downright miserable, and it's obvious from the start that something very bad went down here. I guess that's a bit like Darkest Dungeon, but it takes things in a pretty different direction - in general, it's more subdued, and prefers to deal with implication and tragic consequences than shoving everything in your face. ...Well, with a few exceptions, as you'll see if you choose to play.
Does that help? I can clarify, if I left out something you were curious about.
. I got most of the way through the game, only to run out of saves right before a certain city, ended up losing an important character when facing a certain deity, and said "Okay, damn it, I'm going to come back to this later when I'm less irate."
