Haven't played this with a headset yet...for all I know my teammates during that bitch hospital roof part from the group I just ran with were all screaming just like this guy.
Great game, mainly for all the bitching. Nothing's more immersive than a 12-year-old barking orders at you.
My new personal challenge is trying to chat-type "YOU WILL ALL DIE UNLOVED AND ALONE" before getting voted off a server.
It depends who you're playing with for both games. It's much easier to make plans if you can actually talk to your teammates. Any douches can be muted or kicked.