I played this for the first time last night with a friend. We had absolutely no idea what we were doing, we were getting frustrated with accidentally making a mess where we just cleaned, we wanted to kill each other for leaving bloody footprints everwhere... And to top it all off, the fact that he's Canadian and I'm Australian made the lag so unbearable, we could hardly transport any crates full of rubbish to the incinerator without the contents flying everywhere, or the contents/crate itself literally throwing us into the walls and ceiling and destroying everything else (though admittedly, that last part is somewhat expected given the countries).
We also had absolutely no idea what needed to go and what didn't, we had no idea what the big lazer was for, or how either mode of the radar thingy worked. By the time we finished with the level we were on 3 hours later, the reviews we got were terrible and they made us feel rage.
Yet despite all of that... we can both honestly say that it is the most hilarious and fun experience we've had in a while. All we could think was "We NEED to get more friends in on this!".
Total anarchy is what it was. It was brilliant. When you do finally figure out how everything works, you feel amazing and accomplished. Honestly, the only thing that I can say would improve the game is one minor control change, but once you get used to everything, it's really not that bad.
You can burn so many hours on this game. The possibilities via the Steam Workshop are almost limitless as long as there's gory games out there. We're going to play the hell out of what's currently here, but we most certainly look forward to the final product.