The Scream One is like the race car among mice. It delivers on its promise of performance and low weight without compromise, offering the best sensor currently available and pairing it with a comfortable shape and fast button response. However, just like a race car, it doesn't offer the comforts and features you'd expect from a regular car. To keep up this metaphor, the Scream One is a bare bones rally car while a competitor like the Logitech G Pro is a Ferrari.
There are no customization options, no fancy software to change the lights or program macros. The lightweight design also doesn't conceal a look into the mouse through its side buttons' cracks. This is not a bad thing in itself, but one should be aware of what you buy with the Scream One. Its target audience is clearly the E-Sports aficionado who only cares about performance in a good shape.
And in its size, there currently is no mouse that is lighter, coming in at just 81g. The FinalMouse Scream One is more of a tool than an accessory. There are things to improve, though, mainly in the design of the mouse wheel and the switches for the wheel and side buttons, which could be upgraded to Omrons. With an $80 mouse that is something I would expect.