I will start by saying this is my 2016 Game of the Year.
I expand on that by saying Darkest Dungeon does what it sets out to do as well as anything I have played in recent memory. The atmosphere is delivered pitch perfect even if that pitch is one of gloom & doom. And that is entirely the point. Nothing about this game is pretty. Unless you find beauty in struggle, disappointment and often death.
It would be unforgivable of me to fail to mention The Narrator. He is without peer. His execution of dialogue is so great I wish he could follow me around for a day just commenting on my mundane tasks... Every time I take and post a screenshot I always attached a related quote from the narrator. One of the rare times where someone's words are worth a thousand pictures.
5.0