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The game a 2D side-scrolling survival horror where you control a masked protagonist who has to escape from a city ravaged by disease. He has been hiding since the outbreak, but now he is running out of supplies and does not want to die alone.
It combines action with adventure elements. While exploring the environment, some monsters are encountered. These can be shot, though ammo is limited, or scared away with a flare. It is however also possible to hide in certain alcoves or to lure the monsters into a certain direction by placing rotten meat on the ground. To progress a large amount of puzzle solving and exploration through an in-game map is required. The character has access to an inventory where items can be stored. These include tools but also food supplies.