The game does try to offer some structure to the endless chaos via Trials, a series of challenges that prompt players to perform certain feats of combat, exploration, or just taking a photograph with many elements (be it death, drama or horror). (newgamenetwork.com)
Unfortunately, I've not yet been able to attempt the Heart Attack modes, where you perform certain feats for the affections of your lady companion, or the online mode, as I lack an Xbox LIVE Gold account at present, and so I'll have to refrain from commenting on those for the time being. (poisonmushroom.org)
For accomplishing certain feats within the game, like saving all the Cute Things in Chapter 1 will unlock special levels that can be used to help improve your Cute Thing flinging skills or just to watch them die in horrible ways. (jgghgames.com)