: Highly praised for its detailed and "believable" depiction of Hell, often described as a "living Cannibal Corpse album cover".

: A new environment added to the procedurally generated Agony Mode.

: Features 8 different endings in the Story Mode.

: The game is frequently criticized for its "vulgarity" and "shock value," with some reviewers finding the extreme depictions of violence and sexual power dynamics to be toxic rather than scary.

: The game combines stealth (hiding in corpse mounds or holding your breath), puzzle-solving (collecting items like skulls or drawing sigils), and exploration. Key Features of the UNRATED Version