I have very sensitive skin with moderate to light acne that can become easily irritated, depending on my time of month. I've tried everything from neutrogena, proactive, cetaphil, alba, and all drug store products without much luck. I've used it for almost two months now and noticed a difference in my hormonal and cystic acne. I still have a few tiny blemishes that come up mostly due to my uncontrollable desire to touch my skin though my acne is still nothing compared to before and now manageable. I was hoping to find a similar product that was less expensive, but it works and I'd rather not change something that doesn't need to be fixed. I think this one works so well for me specifically cause of the salicylic acid and the combination of the black cohosh and green tea extract. Acne is a sensitive topic and I hope you all find something that works for your skin type.