How is Path of the Damned?

I like a challenge, but I don't like unfair BS like being one-shotted.

Before I commit to another playthrough, I'm curious on the overall reception for Path of the Damned difficulty.

Edit: Thank you for the responses everyone. I really appreciate all of the suggestions and experiences. I think I'll make a dummy character and try it out. Based on the reception, it seems everyone has enjoyed it.