The creators have done a great job at keeping anxiety to a high while playing. The beginning of the game is a build up to the danger with small noises here and there while over time lights are going out, all doors are locked and shadows are moving. All this with the knowledge that you are alone and trapped deep in space. While the game did fantastic at scaring me there is a ton of reading (granted if you do not care much for the lore of the game you can skip the reading, however, I feel knowing the history of the ship adds to the fear). Maybe to combat the reading we could of had audio tapes or Preethi explain these things throughout the game.
Aside from the reading I would definitely recommend this to anyone wanting to freak themselves out. Finding out the history of the ship is gruesome and also knowing that the threat isn't an alien in my opinion makes it even creepier.