Levi is abused by his father in his backstory, not depicted. If you break into the small shop on Day 1 in the starting area, the shopkeeper can be seen repeatedly physically hurting an inanimate object made to look like a baby.
A few accounts of it: Levi's backstory talks a lot about child soldiers, not depicted. There is a brief scene of Pocketcat assaulting a young girl. If you break into the small shop on Day 1 in the starting area, the shopkeeper can be seen repeatedly physically hurting an inanimate object made to look like a baby.
Levi has an addiction to heroin. If you're not playing as him, you see him have pretty bad withdrawal symptoms. The player can give him drugs in order to stop his withdrawal while also stopping his efforts to quit.
Levi's father was an abusive alcoholic, but this is not depicted. The game uses alcohol in general as if it was a mind-healing potion, though there's no consequence for drinking a lot of it in-game.
One possible party member is a goat, and can be killed in combat. In one area, the player can crush a giant snail. Various enemies resemble animals to greater or lesser degrees.
Pocketcat, a recurring character in the series, is implied to be a pedophile. In the orphanage, if party talk is used in front of a portrait of Marina's father and the player is playing as O'saa, Nas'hrah will state "DADDY ISSUES, CAN YOU FUCKING BELIEVE IT!? What's her problem? She had to gag on father milk when growing up or what?" It is implied in Daan's backstory that his parents tried getting him involved in the sex cult they were in. It is also implied the priests in the orphanage have done some horrific deeds to the children in the name of Sylvian.
Characters can either be restrained or be found restrained, including the player. For example, killing someone while at the train gets the player character restrained until the third day. In most other cases, the characters restrained will not be saved.
There is an enemy that wears a pig mask, and his mouth is covered. If you act like you can't hear him, he'll take the mask off, inhale poison gas, and die.
After killing or discovering the bodies of fellow contestants, it is possible to behead them. The heads may be used as currency to trade with pocketcat.
A common game mechanic frequently used on your enemies and possibly even you or your party members if an enemy uses a special attack, which will simply result in seeing a "stump" where the limb used to be. You can amputate a party member's limbs, which is accompanied by seeing and hearing it happen. It is hard to watch.
Chaugnar can do this to the protagonist by unleashing a loud, painful sound (Painful in-game, not IRL). The character's head explodes in a bloody spurt and they fall to the ground, dead.
Bones can break by falling from a high place, in addition to getting hurt in battle. The broken bones are not depicted, but your character has a bone saw to remove affected limbs. THAT process, and the aftermath, is shown.
In ending B, the main character engages in a fight and afterwards, has a mild seizure. It is depicted for about 10-15 seconds, and no injury is sustained as a result from the seizure.
Olivia uses a wheelchair. If you're at the top of a set of stairs while in the chair, you'll zoom down the steps uncontrollably. This does not result in any sort of damage or death, though.
Someone falls to death in Marcoh's backstory, not depicted. Also, there are covered pits that you can walk onto and fall into. This results in a hard-to-look-at death.
It's possible to attack and be attacked with knives. There is no animation for it, and only a standard slashing sound. When Samarie stabs Domek to death, there is a stabbing animation and sound.
The assault from the other comment is purely physical, though Pocketcat does have an unsavory reputation from the first game. The orphanage also has... unpleasant implications, given the boss fight there.
There is a lot of literal human sacrifice in this game. The only other example is a voluntary, in-game move which involves sacrificing a character's own limbs, called "magna-medical"
Some parts can be quite jarring, but not any explicit jumpscares. One noteworthy scene is inside the washing machine in the apartments. The music has a loud jumpscare sound used as an instrument.
When the player gets tied up in the train, they will wet themselves after a day or two unable to escape. This is shown by ingame text and a puddle under the character
One enemy has a skill called "revel in feces", but this is depicted only as brown clouds surrounding them, and their sprite now looking dirty. Whether they defecate, or are using existing poop, is unclear.
Kind of. If the player character attempts to kill another contestant around other contestants, they will be subdued and awake tied up in the back of the train.
Not really. Marina is the only confirmed transgender person in the cast, and does not have a different birth name. Her father misgenders her in one scene, and that's about it.
Heroin is administered this way, and using it on yourself will show you a depiction of it being injected, though in the game's typical pixel art style. One enemy named "Needles" has several syringes attached to the end of a whip.
The player character can unlock this as a special action upon reaching low enough mind, and the game will disturbingly tell you that "suicide is always an option" once you unlock the skill.
Samarie, one of the main characters, has a meltdown after killing her crush's father. Depending on the time that this event happens, this will either result in her being consoled by the player and sent back to the train the game starts at or her becoming too overwhelmed, turning into a monster, and attacking the player.
The sounds in-game are quite realistic and pronounced. Sounds such as a full party walking across a metal floor will create some loud, metallic, percussive noises. In addition, the coin flip mechanic sounds like a coin clattering on the floor.
When pressed, fighting docile villagers known as moon-scarred and then telling them "prepare to die" will have them explain that they truly want to be killed. Other characters can describe the desire for suicide in some more descriptive words.
If you decide to jump into the well or the toilet in the stalls, yes. If you decide to kill someone in a safe place in front of another participant, the playable character will be tied up and unable to move for a long time, which the player will also experience. However, none of these actions are required by the game, and most are actually quite discouraged.
Levi is only mentioned to have a tragic past he is running away from. There are scenes of him panicking but they are neither confirmed nor denied to be suffering from PTSD. His transformed form makes reference to suffering from PTSD by having his body fused with a rifle.
The game uses a lot of religious iconography. Mainly for fictionalised gods, but one of the deities bears very strong real life similarities to Jesus Christ
Notes are found in the Woodsman's house from one character about having committed bestiality. An enemy is also implied to have possibly been the result of bestiality.
And one offscreen bestiality referenced in detail in the Woodsman's basement. Nude characters are present, and also dying to Needles in the bunker will result in a scene of your character getting possessed and orgasming.
There are several abandoned vehicles in the streets, some of which have descriptions stating that they are damaged, but no vehicles ever move on screen.
Though, notably, in O'saa's Ending B, he throws a sentient severed head into a river. It is not depicted, and said head is heavily implied to not drown.