Still pretty solid. Gameplay is pretty novel; arcade-y surgery is shockingly fun and addicting, and there's quite a decent amount of variety to the missions... for the first half of the game. Story is off the rails, characters are mostly written well.

The game does start to struggle once the main antagonist appears. By Chapter 4 onward, your operations will almost exclusively become GUILT treatment, and the difficulty curve can become pretty frustrating if you're not on top of things. Triti fucking sucks ass.