It was made by a Russian developer which is better known for its previous effort, Pathologic, a somewhat more classical first-person adventure game (albeit very weird and beautiful, with artistic echoes from Brecht to Dostoevskij), but with a similar problem of being murderously hard and deceptive - starving to death is quite common. Nevertheless, in Russia Pathologic had acceptable sales and excellent critical reviews, which is why Ice-Pick Lodge could go on with a second project.