As is fitting the horror themes, the game is absolutely packed with nightmarish imagery and implication.
- An observant player may spot that the fact that many personal items left behind would imply that the various areas in the game were abandoned in a hurry, with the occupants either being quickly killed or fleeing. All except Alice Farm, which features many barred doors, improvised barricades topped with spikes, and mounds of corpses piled up into hastily-made pyres. It's not exactly clear, but you could easily assume that this was the site of a group's Last Stand.
- The monster design in general is pretty horrifying.
- The basic Grunts range from "walking corpse" to "borderline skeleton", including such lovely details as guts hanging out and huge chunks of flesh missing. Some even sport metal cages over their heads or muzzles that they seem to have gnawed their way out of.
- Hives have become walking... well, hives of bugs, with their entire chest cavity split open and lungs exposed, bent over backwards in a U-shape that puts their heads off to the side at around waist height... sideways.
- Not to mention the constant whining howl they make when they are nearby.
- Armoureds are barely even humanoid with strange plant-like masses growing from elongated limbs that cover most of their bodies.
- A new type of Armoured, the Concerntina Armoured, is named after the bombs that spread razorwire in an area. On top of their already clustered appearance of masses growing on them is a bunch of said-razorwire snaking through it's body, getting too close while attacking will cause you to bleed.
- Meatheads are massive bloated corpses with no heads that seem barely able to keep their intestines inside their bodies. Like the Hives, they've become walking nests for leeches the size of household cats that act as the main creature's eyes and ears.
- A later patch added the Water Devil, which is a roiling mass of blood-hungry worms that make an ungodly shrieking sound the moment you set foot in the water. Many players reported they didn't even want to approach the water after they were added.
- The Butcher's lair, wherever it may be, will always be ankle-deep in huge piles of human bones. Add to the fact that the Butcher seems to be wearing a leather apron and mounted a pig's head to itself with a surprisingly elaborate headdress means it might not be as mindless as you'd assume.
- The Assassin is the third boss added to the game, it is in fact a cluster of insects that swarm together around their lair. It can form itself into a roughly humanoid shape that will attack with sharp stingers that inject poison into the victim. When threatened, or if the target has moved away, it will turn back into a swarm of bugs that fly about the area and be invulnerable to attack. Worse yet it can form copies of itself to distract and surround anyone inside the lair, though thankfully these disperse after an attack.
