"And then she burst out with this awful sound, a moan, a scream of complete and utter agony, " said her mother, Jessica Pasley.

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At one point, Artyom delivers a shotgun blast to a mutant at point-blank range, and a burst of tinnitus blanks out the sound of the world for a few moments.

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The flat voice acting aside, sound design is also fine, with some nice touches like the occasional burst of birdsong.

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