WHAT WORKS: The art in the books is eerily effective, with one piece (page 91 of the PDF) genuinely creeping me out as I was scrolling through the PDF. Seriously...not cool. The book has lots of information designed to inspire, and the writing conveys the research in such a manner as to not be tedious or boring. I do also love adventures that put actual choice in PC hands, and this one does a nice job of that, especially at the end.
WHAT DOESN'T WORK: Well, if you want a lot of crunch, it's not here. There are some slight tweaks to the character generation that you can use, but this isn't a "splat book". Similarly, the subject matter may begin to push Little Fears a bit more into "Squick" territory than a lot of you may like, addressing the idea of humans being as detrimental to kids as Monsters.
CONCLUSION: 128 pages flew by, thanks to the concise writing and conversational tone. The author has a knack for speaking to you when writing without it ever feeling tacky or annoying (which can be a hard feat to master). Little Fears will work perfectly fine without this book, but it does do a nice job of adding more pieces to the puzzle...pieces that are wholly optional and rarely completely spelled out for you, instead providing a long road for your group to walk down on and leaving it up to you all to determine what's at the end.
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[5 of 5 Stars!]