Crazy is not as easy as it looks. If you want to create a world of nightmarish whimsy like that in Alice: Madness Returns, it takes more than just throwing random bloody bits into a blender and spewing it all over the walls. You need careful planning; a formula of producing unease that will affect the player.

When Madness Returns is at the top of its formula, it is a fascinatingly dark and grotesque psychological tale. Unfortunately, the game's greatest strength tends to be impeded by gameplay that doesn't feel so much mad as obsessive-compulsive.