Graphically, Midnight Nowhere is a beautiful game that effectively uses shadows and the pre-rendered graphics to set its morbid mood. The game seamlessly blends 3D models into this prefab world and most of the time, the two don't clash. Though there was an occasion where even though the model of Sergey (the protagonist) will move across the screen - the actual walking animation wasn't triggered. This, and a few more instances where the character's animation could have been a little less robotic, really detracted from my immersion in the game.
The pre-rendered scenes themselves are full of detail and, at times, almost photo-realistic, but seeing as the game takes place at two locations (a hospital and a jail), you will find yourself going between the same rooms and hallways over and over again.
The music in Midnight Nowhere does a good job setting the mood as well. The music for the first half of the game (while you are trying to get out of the hospital) is reminiscent of Resident Evil's soundtrack. It has a low-key, moan-filled tone to it that dies down and kicks up in various places making the blood-soaked hallways that much creepier. The second half has a somewhat country feel to it that got on my nerves quickly.
As far as the voice work is concerned - that left a lot to be desired. I never had a problem understanding Sergey, nor did I have trouble reading the subtitles - the problem had more to do with the comments that Sergey made. Quite simply put - a lot of times, his one-liners and observations just didn't make sense. Apparently something crucial was lost in the translation when this game was brought to the states.