I've been expecting this to be a trainwreck for a while now, but I was really expecting that to be from the Twitch Plays style of gameplay, not the fact that the game had pay-to-win mechanics. It's impressive how they managed to stumble right out of the gate.
Aside from microtransactions, releasing an unfinished product that broke on day one, and being overall low quality compared to the Team Silent games, they are essentially making fun of trauma and PTSD as a concept. Compare that to Silent Hill 2, which was very respectful in how it handled the concept of trauma and PTSD, and it becomes quite obvious.
The fact that this sticker exists:
Should tell you enough.
Aside from the point that SH:A is just another over-monetized scam, I am quite interested in how much money that first stream garnered them. Because the more I read about it it seems like everyone and their grandmother bought into it to try it out.