Definitely true to size & I love Steve Madden shoes; I think this is my 7th or 8th pair of Steve Maddens.  It's hard to find pretty shoes in a 5 1/2 any more as some designers aren't making that size.  Normally I don't feel uncomfortable in Steve Maddens, but this one is a little cramped in the toebox & a little stiff.  OK to walk in but standing around is uncomfortable.  I'm hoping once I wear them a few times they will stretch out a bit since they're suede.  I would give them a 5 star review except they're not the usual comfort level of this brand; guess I'd say 5 on style but 3 on comfort.