The game features frequent instances of gross violence. As you ride through the levels in a rollercoaster cart, you must shoot the ghostly apparitions, masked killers and other demonic creatures which attack you. Enemies include human characters, whose heads and arms may break apart into bloody chunks when you shoot at them. There are also depictions of violence against vulnerable persons, with one human character who is strung up by the wrists being bisected at the waist by a saw blade.