The audio and visuals work together so well to create a masterpiece of storytelling. This game truly takes everything from the first game and brings it up a notch. You can tell they spent a lot of their effort on making sure the player feels immersed in audio and visuals with incredibly seamless transitions between gameplay and cutscenes (that I have never seen done this well).
Senua's psychosis plays a huge role in this game (just like the first) with the return of the conflicting voices in her head that offer aid one minute and doubt the next, adding to Senua's struggle of ups and downs as well as the overall tone of the game.
The combat was similar to the first game but the seemless transitions between killing enemies, the stunning finishers, and the next level audio immersion are really what make the combat special.
They truly took the visual gameplay mechanics to the next level with this one. If you liked Hellblade 1 then you will definitely LOVE this one.