Presentation is where The Suffering absolutely shines, both technically and stylistically. As expected, the PC version of the game looks cleaner that its console cousins. While the character models aren't the best looking, they still hold enough detail to please gamers of more discerning graphical taste. The design of monsters is rather interesting in that each monster you come across represents a different form of execution. You have hangmen who will drop from the rafters and try to choke you to death as well as mainliners who are endowed with glowing hypodermic needles. As an added effect, each time the mainliners hit you with their needles, your vision blurs. Another cool effect comes when Torque, the main character, encounters and slaughters enemies -- leaving him covered in a fine layer of gore. Environments are dark, dreary and set the mood perfectly.
Sound can make or break a horror game; just look at Tecmo's Fatal Frame 2. The Suffering provides a soundtrack as creepy as its visuals, complete with ambient shrieks, moans and a few ethereal laughs. Voice work is also very well done, although it is worth noting that the game's script is a bit on the vulgar side. While I am usually turned off by the over-use of four letter words (just to make it "cool"), the language actually fits within the game's context -- so it works. Still, this may be something you want to keep away from younger ears.