With a modestly dusted-up version of American McGee's Alice included alongside Madness Returns, it's that much easier to make the direct comparison between the two, and that much more apparent how much more playable Madness Returns is, regardless of era. The gameplay, however, is still a means to an aesthetic end for American McGee and his Spicy Horse studio. Even more vivid, corrupted imagery and dark ominous tones are sifted out of the internal monologue of a person clinging desperately to their sanity, and while the player's involvement often supports the angatonistic puzzlebox of a mind gone mad, the game spreads its tricks a little thin, leaving the player ready to move on before the game itself is.