Just played this thru. Man this is awesome! Every settings on max, 1400x1050 4xAA & 16xAF and it runs nicely, average FPS is perfect, some random FPS drops in scenes with lot activity, but nothing bad.
Combat seems to be a lot more enjoyable than in the original Fear, somehow I found fighting in it a bit of a pain in the ass but this is nothing like it.
Graphics are nice, more colorful world is big improvement.
And the most important part with this game, yes it was friggin scary. The school scene made me really jumpy and made me think about hitting the Esc and exiting game.
Tho I'm not sure if I like the "widescreen effect" what adds black lines to my screen to make it widescreen.
Also I think that noise effect shouldn't be that strong.
I gotta show this to my friend, who is known for being easily scared. I remember in Doom 3 when the first zombies came he actually closed his eyes because he was too scared.