The game is generally praised for its addictive and satisfying gameplay loop, where players delight in making numbers go up through strategic coin pushing. Despite its simplicity, the game offers a depth of strategy thanks to various synergies between coins and character abilities. However, it is criticized for frequent stability issues and balancing with certain gameplay elements significantly more powerful than others, leading to less engaging gameplay for some. The experience is also affected by the game's reliance on RNG, which while thrilling for some, frustrates others seeking more control over their runs.

Positive reviews highlight the game's return to its survival horror roots, enhanced by a first-person perspective that significantly deepens the immersion and tension. The later parts of the game receive criticism for diminishing in engagement and horror. The story and character of Ethan garner mixed reviews—the Baker family's memorability is often contrasted against the more subdued protagonist. Overall, the sentiment reflects a strong reception of the game’s rejuvenation of traditional horror aspects while identifying areas of dissatisfaction.

The game seems to offer a unique and thrilling experience with its dynamic maps, customization options, and engaging gameplay. However, many players are frustrated with the matchmaking and balance issues, which seem to deter newcomers and casual gamers. While the game has strong customization and strategic elements, technical issues and an unreliable anti-cheat system often overshadow its positive aspects.

Overall, the general sentiment towards Borderlands 4 is mixed. Players praise the gunplay and movement mechanics, enjoying the improvements from Borderlands 3. However, significant criticisms focus on the poor performance and optimization, with widespread issues like crashes and low FPS impacting the experience. Many are also dissatisfied with the DLC pricing and content, feeling it unjustified for what it offers. While the story and writing see some improvement, the open-world execution and character depth fail to meet expectations for numerous fans, causing frustration and disappointment.