The horror isn’t blood-chilling, but rather twisted up with grief and sorrow in how inevitable it is.
Likewise, puzzle solutions are rarely more than a room away, and are often in the same place.
They are, for the most part, about bringing one thing to another thing.

There’s no combining of weird stuff in your inventory or tracking back and forth to NPCs.
There is a lot about grief, expectations, parents, superstition and science.
The local teacher and doctor keep popping up doing slightly suspicious things.

Even so, the horror itself is quite gentle.
There aren’t jump scares, but rooms will change when you’re not looking at them.
Staring dolls will appear.

An autopsy room becomes host to a giggling lump of hair.