I am still very iffy on the creative direction overall, but that neomorph sequence is exactly the level of horror and suspense the franchise has needed back for a long time. Really impressive from top to bottom.
I don't think it tops the original chestburster in terms of intensity but it's still quite gross. I was incredibly impressed with the little creature that emerges. I do think they skimped a little on showing what it did to Karine, but that may just be the cut for the preview or the quality of the handheld recording (which is HD, but still recorded off the screen).
Also: Excellent music, especially when the neomorph emerges.