I agree with others that this is one of the worst, if not the worst hole at Tobacco Road. It has numerous faults and as a previous poster mentioned, it's absolutely brutal on high handicappers.
First, I'm very suspicious about any hole where the course employs someone to be a ball spotter, which is the case here (and on 13). You might say 'well, every blind hole could use a ball spotter.' But that's not necessarily true; if the drive is blind but it's mostly clear on the other side of the blindness, it's not necessary. But here, even though there's a lot of fairway, it's still easy to clear some of the junk only to end up in more junk. But the drive isn't so hard for low handicappers so this is mostly a criticism about how it plays for high handicappers.
Everything else is a problem for everyone. One of my issues with Tobacco Road is that while the course is on sand, it still plays very soggy when wet--completely unlike the other Pinehurst courses. This hole was the biggest offender, even though the fairway is covered with drains. Which is what causes the next problem--most balls collect near these drains and you're likely to end up in a divot or at best in a soggy lie. This isn't a problem with the design of the hole per se, but it's very annoying and I don't understand why the shaping couldn't have been different, given how extensive the shaping was generally.
But the shaping of the green is a problem from a design perspective. As the original poster noted, you can hit the middle of the green and end up 50 yards back down the fairway because the tier is so severe. You don't even need to hit a shot with a lot of spin to do this. It's enough to be going at a front pin and miss 15 feet long or at a back pin and miss 20 feet short. And you can't hedge short to a front pin to avoid this because you get the same result.
The hole might work better if the pin is in the back because it might be fine to hedge a bit long (I don't remember). And it might make sense to intentionally aim to the side of the green if the pin is in the front. Maybe this kicks the ball onto the front of the green rather than back down the hill. I'd have to try that shot a few times to know whether it'd work.
Still, even if these other options help a bit, the original poster is right that the green is just too severe. And the rest of the hole isn't great either.