Honestly, I wish there were a lot more content. The basic story about the Nahema's origins and powers are cool and all. But I wish the author had delved into the factions (such as may exist) in those who wait for their Founder's return. Some more templates as well. However-- the new derangements were fascinating and certainly offer up wonderfully disturbing possibilities! Essentially the Nahema are Malkavians on steroids. Heh heh.

Also, kudos for discussing how derangements and mental illness are not "cute" but rather serious problems with specific symptomology.