Quite enjoyable
I remember playing the original Orchestrated Death a while ago, and I enjoyed the creative ways to kill people; it reminded me of games like The Visitor and Foreign Creature, which I also greatly enjoyed. The only gripes I have about the game have likely already been mentioned: it's quite short, and although that's not something that causes your score to drop, I just wish there were more people to kill in amazingly gruesome ways. =) Also, one thing that sort of annoys me is the shifting quality... when a stage first loads, it loads in low quality, then kind of "pops" into a higher quality mode. It's not really a big deal, but when you go through the game 30 times, it starts to get a little annoying. Overall, a fun game, and although I'm not a big fan of replays being required to get all achievements/medals, the game is short enough that replaying it a few times doesn't really matter. A good game, and I definitely look forward to seeing an OD3 or perhaps something similar in the future if you don't want to continue the Orchestrated Death line of games.
I do have two questions, though... first off, why does a floating rock spawn when the Manipulate card is drawn, and what do those darned eggs do in chapter 1?