Having been a follower of Classic Vampire the Masquerade, I found it confusing that the book refers to the Cainite Clans by Arab knicknames, especially since they did not create new blood lines. I had to create a cheat sheet to follow along.
The book seems to take that stance that the Clans are mostly European lineages, forgetting that Mithras(Dark Ages Europe/Dark Ages: British Isles), Arakur, Sire of Tiamat(Bloody Hearts Diablerie: London), Michael(Constantinople by Night) are all characters were middle eastern when embraced by their Antediluvian (3rd Generation) Sires. So the Ventrue and Toreador were in area well before the Roman Empire and should not be outsiders. The Children of Haqim and Followers of Set seem to at once be center and outsiders in an area always associated with them.
Overall I liked it.