JudasIscariot: Do the songs REALLY affaect gameplay or is this BS? WOuld like to hear what one of the earlier Black Sabbath songs with drop down guitar would do to this game...
I don't know about enemy appearance and movement patterns, but shot power is affected by the intensity of the music. The game isn't geared towards calmer music. This can also cause problems when there is a low intensity section in a song, especially if a boss is being fought. Apparently enemy health is also affected by intensity, but fighting a boss on a classical song is suicide.
Hopefully some of this stuff is addressed in future patches.
On the steam forums, the developer is toying with the idea of adding AAC and M4A support (as a $1 DLC to cover licensing). He's also considering a low flashing option, as some have had trouble telling what's going on. Mind you, even with such an option, this game could still kill someone with epilepsy from a mile away.
Edit:
Thread keeping track of suggestions, noting if they've been acknowledged, confirmed to be in the works, or have been implemented.