Rating issues
This game features strong violence towards human characters. When characters are shot, they react realistically and fall to the ground.
There is an optional side quest in which the player’s character is tasked with finding tobacco for a smoking pipe. If the player does this, they can then equip the pipe and smoke it in first-person, actively selecting when to inhale and for how long.
Other issues
The game has a dark and eerie tone, with use of jump scares and scenes in which the player must use stealth to hide from monsters.