"The Guardian" gave the Xbox 360 version all five stars, saying that it "uses its post-apocalyptic environment far more effectively than many other games that share its nightmare vision of the future. "I Am Alive" joins games such as "Fallout", "RAGE" and "Left 4 Dead" in its setting where a some horrendous event put paid to civilisation as we know it, but in truth, it's far closer in its atmosphere and aesthetic values to Cormac MacCarthy's grim post-apocalyptic novel, "The Road"." "Digital Spy" gave it four stars out of five, saying, "If "I Am Alive" were to be described in a single word, that word would be bleak. It is unapologetic in its presentation and unafraid to cross lines that most games never dare to approach. Those crossed lines are certainly through its subject matter, but also in its gameplay through the possibility of causing permanent damage to your stamina bar. It all comes together to make "I Am Alive" an uncompromising game of survival, quite unlike anything else on the Xbox 360." "Metro" gave it seven out of ten, calling it "One of the most successfully depressing survival games ever made, and a fascinating portrayal of an ordinary man in extraordinary circumstances."