After reading a few works, the art style itself is very important to the impact of things. I hear there have been poor adaptations in the past, and this keeping the original art style I think is a major good start.

It is very Lovecraftian, where the environment is as much or even more important than the actual plot. It creates that looming sense of danger and dread, even if the story is rather mundane in a scene. Just looking at an Ito manga panel now gets my brain primed for something disturbing.

I thought the Uzumaki story itself was ok (perhaps I’ve read too many derivative works without seeing the original first?) but seeing the art animated really has me pumped for this now in a way I didn’t expect.