Technology Tell writes, "The Old City: Leviathan probes the bleakest corners of life in search of hope, embracing insanity, violence and despair in a genuine search for some way to live freely and meaningfully amidst the ruins. Despite all this, it is not a dark game. It contains elements of horror, madness, and death, but there is beauty in the fallen world it depicts, and the game never stops encouraging you to move forward, even if you don’t know where or why. The Old City: Leviathan features a character named Jonah, and like his biblical namesake Jonah’s story is one of isolation and struggle, yet he emerges from it renewed. It makes for a remarkably deep experience, despite only lasting about four hours."