not as good as the first two to me. the gameplay is much more irritating since your weapons are borderline useless and there's a lot more enemies in the traditionally claustrophobic environments, so you'll get blocked in a hallway by one of the dogs or the giant ass fat guys and there's not much you can do about it. the story is also very underwhelming, especially compared to 2. i think that's because this game spends a lot of time explaining and building off the first game when i thought it worked as its own standalone thing and didn't care much about the inner workings of the cult. it also sets up a lot of elements related to family which i thought they were going to go more in depth with: heather being adopted and growing up without a mother, douglas on the verge of dying completely alone since his son got killed robbing a bank he did out of poverty, claudia's horrible childhood with her abusive father, but none of that ever goes anywhere outside of some short one liners in favor of explaining cult shit, which just fucking sucks. the fact that there's also only two real endings, and one of them requires killing a stupidly large amount of enemies doesn't help at all.
outside my bitching, i do still like quite a bit of things in this game. the environments, ambiance, and music are amazing and it's genuinely fucking scary at points. the otherworld hospital is the first thing that comes to mind, and the ladder playing that heartbeat sound effect. heather is also a really good protagonist with surprisingly great voice acting, especially compared to the other characters. it's a good game overall, but i feel like it could've been so much more.