Well, many parts of this book did not age well. Most of them are funny, but I found the descriptions of the Nephandi labyrinths to be somewhat subconsciously racist, so be warned.

The content is a bit too US-centric for my taste. The rules system for chantries is interesting, but I wouldn't adapt it out of the book.
What I like about this book is the massive amount of interesting ideas. I wouldn't adapt any into my games without changes, which is in part because some things didn't age well and in part because they just don't suit my playing style, but I would totally adapt most of the ideas contained in the book in one way or another.

Well, except for Voormas, Grand Harvester of Souls. Seriously.

And don't even get me started on that uber edgy Hollow Ones cabal. That chapter is peak 90s White Wolf. The. edge. is. real. ( )