I played high and scared. I'll tell you I was immersed. This game BANGS. So many things come together, I love the way the systems work. Menuing in my inventory is engaging, always making decisions on what to keep on me and what to bring.
My first run really put the tone of the game into perspective. Got stung by a spider, fell down a shaft (like 3 times) and all the injuries I took on with no way to fix them left my character stuck. Just an awful hopeless situation.
I felt something, this game is art. Can't wait to see how it looks in the future.