Its more of a rush, especially on the hardest difficulty. Just like every other horror game on this console, I would say wear a headset. It makes it scarier and trust me..playing games like this with a headset on, in the dark, its pure horror. Unless you have a surround sound system...played Dead Space at my uncles...holy fuck..the surround sound was intense. :3
If I could separate Me from Myself, I'd stay away from Me.