I didn't play as much as Rhoq, but man, the atmosphere in this game is bananas. I really like the screen noise (which can be turned off in the options menu, though I wouldn't recommend it), and the sound design is really nice. The motion control seemed to work really well too. In the first 5 minutes of the game, someone tries to piss on you and another guy throws feces at you... (WTH!?).
So far, I don't see why the game is getting such piss-poor reviews. It's probably due to it being neutered. I'll play some more soon. But with Z-Dub, BWii, and replaying Fire Emblem: PoR, I probably won't get to it until Winter Break.