It is a danger in making it too gory and lose the essence of a game. Gore should be a cherry on top, imo. If it's there all the time then it quickly get very tiresome. And it has to have a meaning with what is going on in the game. I really liked the way they did it in Silent Hill f during the ritual. It was also quite painful to watch.
Whatever this game ends up as I probably will wait until they are completely done with all the patches so I know what game I'm getting by the end. And to be sure there is no surprise rewrites (accidental or otherwise) of any characters.