This game contains frequent depictions of gross violence towards human-like characters. When a survivor is attacked and caught by the killer, they are taken to one of the meat hooks hanging around the map and impaled through their shoulder/neck.

This attack doesn’t immediately kill them, instead the characters let out blood curdling screams and cries of pain as they struggle to free themselves from the hook. If left on the hook for too long without being rescued, large blades will lower themselves towards the victim and repeatedly stab at them until they die.

Survivors can be saved by their team mates after being attacked although they will be visibly injured. They can be seen holding at their wounds and limping until they receive the proper treatment. If they do not receive treatment, they will move significantly slower and leave a trail of blood behind them. The killer can also perform graphic execution moves on the survivors to defeat them. The animations for these moves can include dismemberment and large amounts of blood and gore.