Surpised nobody has written a review for this yet.
A nice, solid update to the Ironclaw system. Combat feels much more lethal then in Ironclaw, given the subject matter
I like the trait system, reminds me of the adjective system from Numenera/The Strange/Cypher System, and I think it adds a lot.
Skill bloat seems tamed, what you did with SOAK was amazing, effectively adding conditional Deus ex machinas to explain why the shotgun didn't leave you a ragged mess. You need it. The surgery rules where a nice added touch on how deadly the world is, with the surgeons fighting the DM on who finished up the "Life/Death" bar first.
Kind of biting at the bit for the Occult/Lovecraft sourcebook, urban fantasy is my thing, and with the Sci-FI and Horror ones coming up after, this is a system that can only grow!
[5 of 5 Stars!]