Gene Alloway reviewed To Hell and Back in White Wolf #37 (July/Aug., 1993), rating it a 4 out of 5 and stated that "To Hell and Back is a good general supplement, despite being a little uneven. Much is left to the GM in order to make these locales work in their campaign. I do recommend To Hell and Back for those who are looking for some interesting ideas with which to spice up a campaign. And since To Hell and Back is part of the Realms of Fantasy series, perhaps we will see even more places drawn from legend and story."[1]