


It works, but it ain't perfect.
Alt-Tabbing out of game and returning will show black screen, but hitting Alt-Tab again will recover the screen.
During 'Nightmare' sometimes the game will become stuttery and pretty much unplayable. However this doesn't happen all the time. Starting from 'Nightmare' in the main menu didn't see this happen. But if it does happen to anyone just use the console using F1 to just skip the level.
Most of the game works perfectly fine, you can run through levels 1 and 3 without any issues, however the second level 'Nightmare' can make the game unplayable. What I did was play through it from the 'Nightmare' selection in the menu and I didn't see this happen at all during that, so I would probably recommend quitting once you get to that point and just launch it through the menu, if this doesn't help you could just open the console by using F1 and entering some cheats rushing to the meat factory section to get to the elevator or just skip the level entirely.