This game contains arcade-style violence to human and animal characters. In a 2D style, when the player slashes or shoots at humanoid and animal characters, sprays of blood can be seen on impact, as the enemies jerk backwards and shout in pain. Upon death, the human characters fall to the ground and their bodies will stay there for the duration of the chapter. A similar reaction can be seen when animals are injured: when shot, dogs and horses bleed before collapsing to the ground when they are killed. 
 
There are intense and sustained horror sequences throughout the game. Dark and scary music can be heard and there is a constant feeling of dread as creatures pursue the player’s character. There are also human corpses that are part of background scenery, with some injury detail.