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Almost everything you do in Liberty City would be good enough to drive its own game, and the best parts would be good enough to outrun the competition, but the reason it works so well is that Rockstar has made a game that requires no patience to play. This, as much as its usual coherency and the best script in the series, is what makes GTA IV the best openworld game yet, and why it will take something miraculous to rob it of game of the year status.
What's unavoidable is the fact that almost all of the problems that weigh Psychonauts down are borne out of the legacy that the platform genre itself has, and Double Fine - like so many other developers - has largely been unable to avoid falling into the same pitfalls of inconsistent level design and unwise difficulty spikes. Dammit.