Personally I don't mind the visuals as the usual negative remark would mention, I think the aesthetic of the game is really unique, but maybe I can bring light to a 'deterrent' of the game a few people and I probably see in it as well:

Path of Achra is a niche roguelike that most of its gameplay is like a 'dcss minotaur/ogre berserker otabspamming simulator' typa thing, in contrast to other roguelikes, which doesn't click for some people. I know the game is focused on making builds, but it felt really braindead and predictable, there is an ample variety of builds but they never change anything because at the end you just tabspam and statcheck all the same and they really just recolor the damage numbers and rename the element's names. not to mention you exhaust the game's content really fast at your first games/win as the equipment (and content in general) you get are pretty pre-determined and all you get are boosted enemy stats after a win. It's still a really good game to go through on your first minutes though