Wow, not to sounds like Captain ToughNuts, because DOOM 3 freaked me out a few times, but Alma and FEAR do not scare me at all.
That's not to say I haven't been creeped out, and having her suddenly appear in a door way and the lights flicker while she giggles can be creepy, but not once have I really been "freaked out" at ALL by this game. I bought the game with the hope it would be a real horror/thriller, but aside from a few unnerving parts and general atmosphere of creepiness, it just hasn't been able to frighten me at all yet.

As far as Alma goes, this was brought up before, but I wonder if I've seen just waaaay too many little girls in horror games and movies to the point where they just don't bother me anymore, the same way rotting zombies, no matter how disgusting, have lost their scare factor for the most part.