I cannot express enough how awesome this game is. The combat mechanic, the storytelling, all of it comes together so well to form such an enjoyable experience. The tone of the book is perfect for the type of game that it is: going on beyond-epic quests with heavy metal music playing in the background, while also exploring the darker elements of mortality and what it means to be human. I have had this game for over four years now, and have always leapt at the chance to play it again. As others have mentioned, the game is not the best for a long-term campaign, but where it excels is in the one-shot, or even a series of one-shots. And excel it does. Games are always high-stakes adventures where everyone is on the edge of their seats at nearly all times. I have never played in another roleplaying game that gets quite so emotionally involved as this one, where every successful action feels like a monumental triumph and every sacrifice is incredibly somber for everyone at the table.
The only complaints I have are the very seldom typos and errors in print and the fact that this game has basically sat untouched for the past 5 years. The former issue is easily overlooked, however, and the latter is the case for all of Ryan Macklin's projects, and certainly does not reflect poorly on the state of the game; everything you need to add to the game is included in the rulebook to begin with.
I would recommend this game to anyone who enjoys any of the following: epic fantasy, philosophical and emotional drama, the God of War franchise, tactile game experiences, and breathing in general.