Nick Akerman writes, "Your mind is spinning. With every hard fought breath, your brain pulsates, feebly trying to flush out the nightmarish visions that occur so regularly. You've seen it before. The familiar, gurgling, blood-stricken torso leeches itself into the core of your thoughts. She's there: her cry intensifying to restore your attention. Eyes locked on, she's reading your every move. Like you, she's older, wiser, and has greater power. In her heart, she remains the same, opting not to bring anything new to the wicked world of extra-terrestrial haunting. She may be physically fuelled by a new-found teenage rage, but look a little deeper, and Alma hasn't changed one bit."