This is a very well-made game. The environment is disturbing, the art is very well-done, and the doctor is creepy as heck. However, the puzzles were hard--Sierra Games level hard. The furthest I got was to the part where I got all four items and I got the following game overs in a couple of my attempts: I shot myself, and I tried to attack the doctor directly by going directly in front of his office and ended up getting caught. I couldn't find a way to give the beer to the guard nor could I find a way to untie him.