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A 10 (or 10.0 in IGN's case) does signify a perfect, flawless game to me and I have never played a game that was like that. Some people might fail to realize that some of these big-named reviewers might be getting a little nudge from the developers and publishers to give their game a boost in score in the reviews.

Generally, I never take reviews to heart just based on their scores alone. A good review tends to flesh out the details of the game in a way so that the reader will gain a basic understanding of the game's mechanics. I also wouldn't just read one review, as it might be biased or skewed, but rather wait until I see at least 3 or so reviews out before making a choice.