Not worth watching.
For what it can fit a whole game into 4 episodes it tries its best but ends up falling flat all together. It was made to be PURE gore-porn and only that. It's not even planned out gore like Higurashi where you feel like it's deserved it's just there to shock you.
I LOVE gore, vore, and blood any more than the next person but this anime made me legit uncomfortable. I've seen a lot of nasty stuff but this one takes the cake! I really thought I was desensitized to animated gore until this.
The voice acting is ok, except for the expected screechy moe voice acting for the little sister. And even in the game the characters themselves were pretty lame and uninspired.
I would only recommend it for the people who want the gore.