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Belladonna Marie Cocherto / Belladonna
A housewife and librarian from Savannah, Georgia, who, after discovering that her husband was having an affair with her sister, snapped and transformed into a deadly dominatrix, murdering them both. She is armed with an electric cattle prod. She died after committing suicide by electrocuting herself with her cattle prod while taking a bath, which was reported as being "accidental".
- French Maid Outfit: One of her alternate outfits puts her in a stereotypical maid outfit.
- Shock and Awe: Quite fond of her electric cattle prod.
- Shock Stick: Fends off her opponents with the use of a cattle prod.
- Woman Scorned: Murdered her husband after a private detective revealed he was having an affair.
Gabriel Faustus / Dr. Faustus
A deranged plastic surgeon from Los Angeles, who intentionally disfigured many of his patients. He is armed with a scalpel and has a set of metal "jaws" attached to his own face that resembles a bear trap, which he also uses to attack with. He died from an infection caused by the grafting of said contraption onto his face.
- Deadly Doctor: He knows how to fight well and make use of his scalpel and sharp metal jaws.
- Mad Doctor: The fact that he's in Hell, is enough of an indicator he is not your average doctor.
- Psycho Knife Nut: Fights using a scalpel and he's plenty unhinged.
- Rapid-Fire Fisticuffs: In his "beatdown" Thrill Kill, he stabs the opponent so many times with his scalpel that he has to grab his arm with the other hand to stop himself.
Cleetus T. Radley / Cleetus
A murderous redneck cannibal from Kentucky who fights with a severed leg of one of his past victims. He starved to death after contracting a tapeworm infestation.
- Grievous Harm with a Body: Fights using the severed leg of a previous victim. In one of his Thrill Kills, he contemplates the leg he's holding, throws it away, and rips off one of his opponent's legs to replace it.
- Hillbilly Horrors: A Deep South cannibal, nuff said.
Billy B. Tattoo / The Imp
A violent dwarf government employee with a Napoleon complex from Albany, New York, who is supported by stilts. He died from complications after amputating both his legs to replace them with the stilts.
Franklin Peppermint / Mammoth
A gigantic, feral simian creature who was previously a human postal worker from Covington, Indiana, nicknamed "Mammoth" due to his large size. After he was fired from his job, he flew into a rage and killed many of his colleagues and customers in a bloody rampage. He committed suicide afterward by shooting himself.
- An Arm and a Leg: Rips off his opponent's limbs in no fewer than three of his Thrill Kills.
- Driven to Suicide: Like many spree killers, he ended his rampage by killing himself.
- Full-Frontal Assault: One of his "outfits" leaves him completely nude, though with Barbie Doll Anatomy because even this game can't get away with some things.
Raymond Raystack / Oddball
An FBI criminal profiler from Belfast, Maine, who, after a long career of tracking serial killers, was driven insane and became one himself. His costumes feature him bound in straitjackets, having his arms tied behind his back, or with them amputated altogether, and so he relies on using his head, torso and legs to attack. He died after being gunned down by his protégé.
William J. Whitefield / Tormentor
A sadistic vigilante judge from Phoenix, who is armed with a chain. He was executed on the electric chair after being found guilty of acquitting criminals in his court so that he could secretly torture and murder them himself.
- Chain Pain: Wields a long chain attached to one wrist as his primary weapon.
- Freudian Excuse: After his wife was murdered by Cleetus, he acquitted the man, abducted him, and tortured him to death, which proved to be his Start of Darkness.
- Serial-Killer Killer: Though he likely targets more than just serial killers.
Violet Boregard / Violet
The youngest playable character in the game. A teenage traveling circus contortionist from Austria who developed a hatred for men after killing a man who attacked her in her dressing room after one of her performances. She died from internal injuries after her spinal cord was ruptured.
- Enemy Mime: She's a mime in one of her alternate outfits. And... well, she did end up in Hell.
- Rubber Man: She's amazingly flexible. In her win pose, she turns her upper body a full 180 degrees. Her death came about because she pushed it too far and tore her spinal cord.
- Shout-Out: Her name is taken from Violet Beauregarde, a character in Charlie and the Chocolate Factory. That Violet ended up impossibly long and flexible after being put through a pressing machine following the blueberry incident.
- Younger Than They Look: Despite being the youngest playable character, she's also the tallest.
Judas
One of the later unlockable sub-bosses. Deformed conjoined twins at the sternum, without any legs. One of the upper halves simply "walks" on his hands whilst the other upper half fights.
- Conjoined Twins: Joined at the waist... that is, they're effectively two torsos attached at what would be their waists.
- Death by Childbirth: Their mother died giving birth to them.
Cain
A sub-boss who is a pyromaniac covered in flames.
- Evil Laugh: His win pose has him laugh maniacally.
- Playing with Fire: Controls fire, and uses it to ignite his opponent in several of his Thrill Kills.
Marukka
The final boss. She is a demonic female deity from a dimension in Hell who was responsible for the organization of the tournament.
- Enemy Rising Behind: One of her Thrill Kills has her feign death. When the opponent turns their back, she suddenly stands back up and beheads them.
- Final Boss: Beat her, and you get to live again.
The Gimp
An unlockable Training Dummy who can't be controlled directly and is only available in Practice Mode. He is a masochistic gimp who enjoys pain.
