I've been running two different groups through AV:E, both to great success. I cannot adequately explain how strongly this release improved the experience. Integrating the Menace, Troubles, and Abomination Vaults is only the beginning. Revamping parts of levels to add more depth, offering additional encounters to challenge the players, and giving the group an excellent opportunity to leave town and see more of the world. We even get a more in-depth backstory and NPC investment in the adventure, which means we're able to roleplay more complex characters with opaque motives. EVERYTHING has worked for my groups, so far.
I'm utilizing about 90% of what's proposed, here. My lead group is about halfway through the story, and we are 38 sessions in. I've gotten laughter, tears, and a couple of almost TPKs. I am running this in FoundryVTT, and I spent about 3 months updating the official Paizo journals and maps to ensure I had everything in place for this campaign. I've been capturing one of my groups and uploading the videos to Youtube under "Otari by Gauntlight".
As far as I'm concerned, this is the definitive version of Otari and the Abomination Vaults. I would never run it without this additional material, and I honestly feel sorry for anyone who didn't get to experience Caliddo stalking them through the halls of the Arena.
Do not miss out on this if you are interested in running this Adventure Path.
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