This looks like the output of HexRays [1], which is the best C decompiler I've seen. Defining some structures and typing the variables would make it a lot more readable in some cases. I've used HexRays to make sense of C++ games several times, after investing enough time to define and use data types, the result looks [2] much better, but then again, that's unobfuscated and not optimized C++, not old-school "I know what I'm doing and I don't need the compiler second-guessing me" C.
Unfortunately there's still a lot decompilers can't do, mostly compiler tricks (e.g. storing a pointer to the middle of a structure instead of its beginning, and using negative offsets to access other struct members [3] - this is usually obvious when looking at it, but HexRays can't make sense of it so it falls back to raw pointer math).
[1] http://www.hex-rays.com/ [2] http://img824.imageshack.us/img824/1188/hexrayscpp.png [3] https://github.com/Laurelai/decompile-dump/blob/master/outpu...