This is clearly an indie movie and has to be judged as such. The plot is pretty standard and simple, but most of the actors do their job solidly and the movie flows rather well. The characters are sketched rather than written, but I never sit in front of a horror movie expecting to see a character-driven piece - and most characters in horror movies are just stereotypes anyway. I did like the fact none of them is particularly pleasant: it did add some realism. Same for the use of different languages (Italian and what I think is Russian) along with English - I actually quite like movies that mix languages. The title seemed pretty dull at first, but it kind of make sense when you get to the third act.Despite the low budget, the movie actually manages to build up atmosphere, which is not a given. The score is one of things I liked the most: it doesn't draw too much attention to itself, but it works. Camerawork was fine, even though some scenes look way better than others. One of the visual highlights of the movie is a dream sequence that is shot in one, long single take: it's weird and it looks like they filmed it in a catacomb of sorts (I reckon catacombs are easy to get in Italy). There's a thin layer of grain over the image, which is there to emulate film: I am not a fan of that, but lots of movies do it (like Rob Zombie's stuff or "Mandy"), so I guess is trendy. The director is probably a huge horror fan, since there are references to many other scary movies, some of them rather obscure: wether or not this is a flaw, it boils down to one's own taste. Personally, I found it amusing. All in all, I thought it was a good indie - a notch above the average STV horror flicks that I get to see everyday.
PS: the American cover is way better than the other one with the lead girl on it - why there's two of them is beyond me.