VeTrack: Remember to play at least some part of it as Malkavian, better if you do it after your first playthrough. As for sfx, turn up the volume and play in the dark while you're in Ocean House Hotel. (That is if I didn't remember something wrongly, lol)
That's just what I did last night.
I usually play with headphones but I'm on call and my noise isolating headphones make my phone silent.
It did give me a bit of adrenaline in there.
For the bad sfx, the fighting sounds and object collision sounds are really bad. But the voice overs are quite good. And it has some other neat sounds like the loud vs muted Asylum music and some environmental sounds. That said, the sounds of cars rushing by and honking don't match what you see.
Don't get me wrong, I'm loving the game. But if this were remade and finished, it would blow the pants off people.