This is not for children. That couldn't have been said earlier in this review, nor could it be stated too often. This game is the extreme side of extremely violent. You regurgitate your own blood to kill enemies with - yep, can't get much more violent than that.

But that's not all there is to the game there are three modes of play, Classic, Story and Survival. While all follow the same basic formula of blood-splattered deaths, they all have their individual reasons for existing.

Classic is the easiest, where you can play for as long as possible while the difficulty slowly increases. Story has just five levels (that doesn't make it easier) and has you facing off against "Big Mama Dumpling". Survival is the hardest - described as "ultra hard" and has you pitted against the clock and many enemies.

It's certainly the most visually unique game to come around for a while (try not to be impressed by them - disgust counts as impressed) the graphics are like John Kricfalusi and Jhonen Vasquez' baby. Fortunately, the three modes of play make this not just a one trick pony and can be infrequently returned to in attempts to top your high score.