Easily a top spot in Northeast Ohio for sushi lovers. As a guy who grew up in NY around some of the best sushi places in the country (see Katabuki, Long Island's top-rated restaurant), I can say that having this option is not something to take for granted. Pacific East is the destination for when you wish to savor the tastes and the presentation (as opposed to an experience like Sushi Rock, which seems more about being hip than being great).
The sushi rolls and sashimi selection available are not much different than other Japanese restaurants, but Pacific East then throws in wonderfully conceived and executed specialty rolls which will not be easily found in Northeast Ohio.
The atmosphere is decent, the waitstaff is average, and the flavors meet a heightened expectation. The differentiating factor at Pacific East is the quality of the construction of the sushi and the freshness and quality of the ingredients.
Bonus points for not letting the alternative dining fare offered (Malaysian) detract from the execution of the Japanese restaurant theme. The result is a restaurant offering something for everyone in your group letting the rest of us get our sushi fix.