Tight, exhilarating, and excellent
Madness Accelerant is a fitting title, because the game sucks you in and forces you to fight for your life at a breakneck pace. It is no drawback that this game has no pause button, because it is meant to be played in one fast, intense sitting. After you play it maybe twice, you realize how short it is, and it feels a little too easy, but the first ride--before you have a good handle on how to defeat the boss--is incredible. The art of mindchamber plus great level design based on Krinkels' "Madness Consternation" makes it thoroughly great to play. the combined effect of the artwork, pounding music, and gameplay make it feel fast, even frightening, and most certainly intense.
The best aspect of the game--absolute genius--is making it one long bossfight. Few other games have tried this, and it allows you the novel experience of real interactive madness. It is great to relive Consternation with all its plot progression intact, fighting a giant infernal clown through industrial corridors and elevator shafts. It sucks that there is not a good pick-up/drop weapon system, but the weapons which include flame-throwers and shotguns are great. This game is infinitely better than "regent", and I desperately hope the sequel to be better still.