At night, Egyptian artifacts in his office come to life, presenting disturbing philosophical puzzles. Core Gameplay Mechanics

Reviewers highlight the game's bold approach to complex psychological themes, though some point out technical "clumsiness" in its mechanics.

To manage Freud's anxiety, players must balance his habits, which include reading letters, smoking cigars, and consuming cocaine—a historical reference to his early experiments with the substance.

Some players find the puzzles monotonous or the lack of clear instructions frustrating, noting that the game often feels like an experience to be "fumbled through".

Players must treat patients by listening to their dreams and trauma, then formulating a diagnosis and therapy plan. Success is measured by how much "truth" is extorted and how much the patient pays for the session.