Nothing new here
The Suffering (1st one) was scarry, very scarry. I had never seen a syringe monster! The way it would jump up into your face...wow!
The Suffering: Ties That Bind is more of the same, but not as good. They have rehashed the same stuff...it's no longer new or unique. I was pretty bored with it. The story doesn't go anywhere, the ending (mine anyway) was abrupt and unsatisfying. The gore is cool, and there are a few moments when presented with a puzzle that are interesting. But overall, there is nothing new here.
If you are considering The Suffering or The Suffering: Ties That Bind....Get the original (The Suffering). The island is a much better setting than Baltimore, which is the setting for the 2nd game.
TTB looks good but is not that exciting.....or scarry.