I like my decisions to come with consequences, and The Dark Pictures: Man of Medan presents some strong ones, including one that determines whether or not I get to see Shawn Ashmore speared through the chest with a rusty spike. Unlike developer Supermassive Games’ greatest horror hit to date, the cheesy Until Dawn, Man of Medan is a serious and brooding horror game that starts off too slow but maintains a welcome sense of dread in its latter half. A meaningful choice-and-consequence system makes a second or even third five-hour playthrough alluring, particularly when playing online co-op, where you each control one character and independently make decisions with the potential to screw each other over.
Source: IGN.com The Dark Pictures: Man of Medan Review