not that great
I hate timed puzzles in general, but the ones in this game are even worse than the average. You don't give instructions, fine, it's not very hard to figure out anyway, but you should give time to think, or at least to read what the character says! Becouse most times I was dead before I could even read it!
(It's true that you don't get instructions or extra time IRL, but IRL you have all your senses and know what you can do and what you can't, wheras in a game you only have your sight and hearing and even they are restricted, and you don't know what will do something when you click on it! Also a game is meant to be won, so it mustn't be as hard and as unfair as real life is!)
The dialog boxes are also very bad: the text goes very fast, so it's very hard to follow, and if you fall behind with the reading you have to wait until the whole dialoge is over to be able to go back to the begining! It should go slower and should be always scrollable. It's not very player-friendly either that one click scrolls only one line in the box. Also the game should always remain paused until you click to end conversation. It was a hit below the belt when that Tikaki (or whatever her name is) attacked at the very moment the last line of the dialoge appeared! I was still reading many lines above wasn't expecting a charge at all. And as I mentioned before it was absolutely unfair that she reached and killed me in 2-3 seconds! That time is too short even if one knows what to do. To get past her I had to attack her during the conversation.
The aforementioned things were just mildly annoying however compared to the minigame where you must escape frome the old vivisect. You really should exclude these minigames from your games, they suck! In The Insanity there was "The Machine", wich annoyed the fuck out of everyone, now there is this, wich is even worse, becouse The Machine at least made some sense. But this running is just plain stupid, and hard as hell. I've got a double-click button on my mouse and I clicked it like a madman and I still lost. And what were you thinking anyway when you decided to put a button-mashing minigame in? Mashing a button is not fun and never was, however it kills your mouse/keyboard and makes your fingers hurt!
One more thing: screamers (a suddenly appearing scary face with a loud scream) are VERY old! They aren't scary anymore, instead they are boring and anoying. You should come out with something more original in place of them next time. For example with a third person view animation of the monster attacking the protagonist.