Developer Lenzees' unique take on the Soulsborne genre has a lot to like, assuming you can overlook several technical and design missteps.

Where madness really causes a problem is with bosses. If you die repeatedly at a boss and your death spot is in the boss arena, the doppelganger won't show up, so you're kind of stuck with max madness unless you decide to go get killed somewhere else, take down the doppelganger and be back to zero madness.

If you need a new Soulslike experience, Leenzee Games' Wuchang: Fallen Feathers is worthy option that will fulfill your needs.