I've had the game for about a week and a half now and I really like it.
DOWNLOAD THE PATCH BEFORE YOU START!!!
Any saved games before the patch are incompatible with the patched version.
I had to start the game over from the begining which wasn't to bad since I made a few mistakes.
FYI this game is hard on the graphics, I have 8000GTx SLI'd running it at 1650x1050 every thing cranked and yes it does have issues from time to time. For the most part though, it runs flawlessly.