This game sets itself out with one purpose: recreating the narrative tension of a climactic duel. No game system I have ever played has ever captured this feeling quite like Till the Last Gasp. The back and forth of striking blows and causing wounds. The dramatic reveals that can shift a story into new and exciting avenues. That one decisive moment can be the difference between victory and defeat. You can avenge your father who was felled at the hand of a six fingered man, delimb your long lost son in an ill advised attempt to covert his religion, or just prove that "whoa, you know kung fu".
The quality of the pieces are top notch, the presentation is stellar, and the rules are quick to pickup and easy to understand. After just a few trial runs, this is now a permanent staple at my table. I don't think I'll ever want to resolve a duel another way.
There is one small issue, and that is the inherently balanced nature of the game. This system does not inherently work for a mismatched skill/power level. It also might have limitations when the combatants are at a more heroic level. Adjustments could be made, but out of the box the rules don't support it. The game just isn't designed with demigods in mind, nor will it really allow for David to triumph over Goliath. With that in mind, it still provides an incredible base by which one can form a compelling and engaging story.