Wasn't quite what I expected. I hoped for more rules regarding Sanity/Insanity, curing derangements, madness through supernatural sights and such, to add to a Call-of-Cthulhu-like tone. This book does NOT contain such things! It contains background for medical professions within the World of Darkness, physicians and psychiatrics alike, and a nice intricate pre-built sanatorium setting. Part of the "medical background" section is a bit heavy to read, but most of it is quite atmospheric and offers a lot of ideas. Still, it seems to refer mostly on the 1st ed. Chronicles of Darkness rulebook, and as a non-native speaker I keep tripping over the one or other weird typo. All in all, a good read, but for starters a bit too specific, and it could have been better proof-read.

A beautiful book to read through (lovely, evocative artwork with well laid out text) and also one which offers a lot of rich ground to explore. Admittedly, the book is focused on the terrors of madness and the medical 'care' to which people are subject too, and if you have no particular interest in exploring this facet of the World of Darkness, then this book is clearly not for you.

If you are interested in this sort of thing, however, 'WOD: Asylum' offers a wealth of concepts and story ideas, a very well considered and crafted setting and a(n) (un)healthy selection of 'mechanical' additions for the core rules. Highly recommended.