But wasn't blown away by this one to be honest. Thematically it felt like it was missing some sort of recurring motif. Sure there were pipes, but they didn't have enough oomph on their own.
Maybe some more ambient sounds, crucified stuff or machinery - valves and so on.
The ceilings felt very low, which seemed to make the play feel squashed as well.
I was surprised there wasn't more watery stuff as well, but that's aside from any issues I have with the fun to be had.
Here's a demo where I die at the end fight:
After exploiting the angled geometry to avoid the Vores a Shambler does the same to me...