It starts ugly and ends ugly, without enough humour or horror in between to shock or surprise. I'm not convinced its mingling of arcane silliness and actual suffering quite works either; it's a bit like Martyrs with gross sex jokes.
This is a game that can scare you, startle you, shock you, draw a nervous laugh out of you and make you shake your head in disbelief, but mostly it’s just here to entertain. And the Bakers are right at the horrible heart of it all.
Pick through the shit and you’ll find the nuggets of gold, but if I hadn’t sucked every last drop out of Afterbirth, I’d rather be playing that than Afterbirth †. As it is, I’m just about won over by the promise of new things, many of which are solid additions, but there’s a lot of dreariness to tolerate.