Rating issues
The game features scenes in which violence is inflicted on a restrained character. Large amounts of blood are shown and there is sight of bloody stumps in the aftermath of apparent dismemberment. The character is then set alight. Other violence is less graphic, including fantasy characters being shot. Impacts knock them backwards and, when defeated, they fall to the floor, leaving a pool of blood.
The game also includes use of strong language (‘f**k’).
Other issues
There are a number of jump scares, including a monster crawling towards the player’s character and biting at him.