Constantly trying to gather food and water to stay alive is not the only significant flaw to this game.
But there are three other major issues that keep me from really enjoying this game:
1. The inventory system, the limited room to carry items, and lack of space to store additional items (more on this below).
2. Having Skye in the game slows things down A LOT. Some have already mentioned this. As if it weren't bad enough trying to keep your own vitals up to stay alive.
3. Building stuff -- a must to proceed in the game. You build items like shelves, beds, raft, etc by playing this mini-game (detailed in GameSpot's review). What is not stated enough in reviews is that it's an extremely frustrating experience. The pace is so fast and the shape recognition is abysmal. Much more often than not you will fail. And if just having to retry wasn't enough, you lose your materials -- very annoying as the logs are particularly hard to come by. I managed to build a basic shelf to store 5 items (I was lucky), but have not been able to expand on it to hold more items in almost a dozen retries spanning many in-game days because of the scarcity of logs. I would dock a full mark or two because of the difficulty level of this vital mini-game alone.
Positive notes:
-Nice music and very good graphics.
I'm glad I only borrowed this from a friend as I would have regretted paying $30 for it.