Well, this game was a bit of a surprise.
I feel like I've seen something about this game somewhere before seeing it on Steam and buying it on the same day. El Paso, Elsewhere is most similar to the Max Payne games. I've never actually completed one of the games in Max Payne series, but the comparison is pretty obvious.
You play as James Savage, paranormal investigator, on his way to stop his ex, Draculae, from ending the world as we know it. To do this, he will descend into a seemingly limitless motel located somewhere in El Paso.
It's a game that really messes with perception, both because of the reality bending effects of "the void" on the motel, but also because of the pharmacy's worth of drugs James imbibes to keep going. James also acknowledges that this will most likely be his final ride, either because of the forces he battles, or because of what he must do to keep going.
There's a general theme of addiction in the game. Many of James' monologues deal with his past drug problems, and one pretty heartbreaking one about when he received his three month sober chip. Draculae also parallels this when we learn about how she relapsed and began feeding on humans again. She's a vampire, by the way.
Gameplay wise, it's simple but very fun. Diving guns akimbo through a window and popping three werewolves in the head before you hit the ground well...if that doesn't sound awesome, then you definitely won't like this game. If that does sound good, you also get an excellent story (along with some of the best voice acting I've heard in a game in a while), just try El Paso, Elsewhere. It's the fun of an action movie, a monster movie, and a tragic noir all wrapped into one package that works astonishingly well.
One of the better games I've played this year.
Edit: This game also has a badass soundtrack.