The game features a number of bloody scenes in a 2D sketched style. Examples include first-person views of the protagonist extracting the nerve or bone from his forearm; characters being stabbed in the stomach; a character’s Achilles heel being sliced; monsters jumping on the protagonist and biting his neck with a large amount of blood; and dead bodies in blood-stained settings. Though often unsettling, the violence’s realism is limited by its artistic style. Though there are large amounts of blood, there is little realistic or detailed injury when characters are hurt, which often happens in an implausible way, such as living dolls pulling the protagonist’s intestines out with their hands. Furthermore, the protagonist always wakes up after death.