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There are some jump/scary moments (I almost crapped my pants the first time the zombies broke through the walls in the hospital) but it's not really a scary game, it's just a *really* tense game.

You will be seriously sitting on the edge of your chair the entire time even after multiple playthroughs. Knowing what's coming makes it almost worse, especially it's the end of the level and you haven't seen a tank or witch yet.

Whatever the case, if you own a 360 or a PC that can handle this game there's no excuse not to have it.