Many reviewers were pleased with the game's premise and setting, variously describing it as "weird", "wacky" and "silly". Hope Falls, especially the area of Creepy Hollow, was compared to the work of Tim Burton. Dead Head Fred's graphics were warmly received, with GameSpy noting "The game looks simply phenomenal on the PSP screen." Pocket Gamer UK said "graphically the game won't blow your head off but it is undeniably stylish." Pocket Gamer also felt that the game's level design, with its emphasis on changing heads to solve environmental puzzles, made up for the "mediocre combat system". The character design was praised; GameSpy said "Fred is one of the most interesting and entertaining characters to ever hit gaming," and GameZone said "Fred’s freakish form is like looking at a car crash … you really don’t want to stare but you just can’t help it."
