1348 Ex Voto is a third-person action game set in 14th-century Italy, developed by Sedleo. Players control Aeta, a young noblewoman and knight-errant, navigating a plague-ridden landscape. The game struggles with performance on mid-range setups, particularly with an Nvidia GeForce RTX 3060 Ti and AMD Ryzen 7 5700X, maintaining a frame rate of 20 to 30 fps at 1440p resolution, and requiring low settings for a stable 60 fps. The sword-fighting mechanics are intricate, allowing players to choose between one-handed and two-handed longsword styles, and players can enhance Aeta's weapon and customize skills through a skill tree. The game features bugs, such as repeated lines during cutscenes, and lacks power scaling, which may reduce challenge by the final boss. Accessibility options are limited, focusing mainly on graphics settings and subtitles, with no customizable keybinds on PC. The review experience lasted eight hours, comparing visuals and performance to other medieval action titles.