Outlast

Outlast thrusts players into the role of investigative journalist Miles Upshur. As Miles, you venture into the depths of Mount Massive Asylum to uncover its chilling secrets and quickly become trapped. With homicidal patients now running the facility — and no way to fight back — you must rely on stealth, cunning, and your camcorder's night vision to survive. Narrative themes include ableims (sanism), incarceration, human experimentation, abuse, and violence. Special thanks to Game Phobias & vgtriggers on tumblr for pulling together a lot of the information below.

• Release date: 09-04-2013
• Developer: Red Barrels
• Publisher: Red Barrels
• Platforms: Linux, MacOS, Nintendo Switch, PlayStation 4, Windows PC, Xbox One

Triggers for this game

Animals & Wildlife

• Insects

  Various bugs seen in the environment

  ShowHide potential spoilers or triggers

  Bugs can be seen crawling on the floor in the room Dr. Trager takes you to.

  • Can't be avoided

Crime

• Being Held Against Will

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — Some of the patients are implied to have been wrongly committed. Whistleblower DLC — you are kidnapped and institutionalized when you become a 'problem'.

  • Can't be avoided

• Fights

  In both the main game & Whistleblower DLC

  • Can't be avoided

• Guns & Shooting

  Present at the end of the game

  • Can't be avoided

• Hangings

  Failed hanging in Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — Waylon is nearly hanged, but his weight is too much for Gluskin to lift. Gluskin winds up impaled and Waylon goes free.

  • Can't be avoided

• Kidnapping

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — Some of the patients are implied to have been wrongly committed. Whistleblower DLC — you are kidnapped and institutionalized when you become a 'problem'.

  • Can't be avoided

• Murder

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  There are many implied murders throughout the main game & Whistleblower DLC. You will witness multiple murders as well as be chased by murderers.

  • Can't be avoided

• Stalking

  In both the main game & Whistleblower DLC

  • Can't be avoided

• Torture

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — you are tortured and have two of your fingers removed. Whistleblower DLC — you watch another character being tortured before nearly being subjected to it yourself.

  • Can't be avoided

Death & Loss

• Death of Friend

  ShowHide potential spoilers or triggers

  Trager is crushed in the elevator

  • Can't be avoided

• Death of Loved One

  Discussion in Whistleblower DLC

  ShowHide potential spoilers or triggers

  During the DLC, you find a document that implies that the head of the project is planning to kill or otherwise harm your family.

  • Can't be avoided

• Loss of Pregnancy

  Miscarriage

  ShowHide potential spoilers or triggers

  An asylum record explains that Mount Massive cannot house people who can get pregnant. The morphogenic engine causes pregnancy-like symptoms for all people who can get pregnant in the vicinity. This resulted in phantom pregnancies and, sometimes, phantom miscarriages.

  • Is avoidable

• Suicide

  Main game

  ShowHide potential spoilers or triggers

  There are at least two instances of suicide (one successful, one unsuccessful), both carried out through self-immolation.

  • Can't be avoided

Disturbing Sounds & Sound Design

• Bone Crushing

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — Waylon smashes heads. Waylon breaks his leg.

  • Can't be avoided

• Clicking Sounds

  • Can't be avoided

• Distorted Voices

  • Can't be avoided

• Screams

  • Can't be avoided

• Wet Sounds

  Bloody and squishy sounds throughout

  • Can't be avoided

Drugs & Alcohol

• Drunkenness

  Main game

  ShowHide potential spoilers or triggers

  In the optional file section of the game, Miles Upshur describes a patient as looking drunk

  • Is avoidable

• Forced Drug Use

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  The main characters in both the main game and in the Whistleblower DLC are forcibly administered drugs to knock them unconscious.

  • Can't be avoided

Financial & Resource Management

• Scarcity

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Flashlight batteries

  • Can't be avoided

Gore

• Amputation

  Mai ngame

  ShowHide potential spoilers or triggers

  Main game — You have two of your fingers cut off.

  • Can't be avoided

• Beheading

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — One of the antagonists rips the heads off of anyone in his path. Whistleblower DLC — the player eventually comes across a decapitated male corpse that has been mutilated and posed to look like a woman in childbirth. The man's head has been placed at the groin, as if the child's head is emerging from the womb.

  • Can't be avoided

• Blood

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  The game is very graphic and violent; blood and gore is strewn across the environment and many characters have blood on them as well.

  • Can't be avoided

• Body Horror

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — Many of the inmates have been horrifically disfigured in some way. Towards the end of the main game, a priest lights himself on fire, eventually consuming the entire chapel. Whistleblower DLC — the player eventually comes across a decapitated male corpse that has been mutilated and posed to look like a woman in childbirth. The man's head has been placed at the groin, as if the child's head is emerging from the womb.

  • Can't be avoided

• Cannibalism

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — you are hunted by a pair of twins that calmly discuss eating you. Whistleblower DLC — you initially encounter a cannibal in a kitchen, where he can be seen cooking and eating body parts. Later, he chases you with a chainsaw with the obvious intent of eating him.

  • Can't be avoided

• Dismemberment

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Severed limbs - including fingers - are found strewn about the asylum.

  • Can't be avoided

• Guts

  • Can't be avoided

• Viscera

  • Can't be avoided

Hate & Discrimination

• Ableism

  Sanism (entire game series)

  ShowHide potential spoilers or triggers

  One of the core plot elements of this game series is the dehumanization and exploitation of the mentally ill. Patients in the asylum call other patients "crazy" or "insane" from time to time. This sort of language can also be seen in Miles' notes.

  • Can't be avoided

• Antisemitism

  Dr. Wernicke has ties to the Nazi party

  ShowHide potential spoilers or triggers

  Dr. Wernicke has ties to the Nazi party. Some documents within the game contain references to real-life Nazis, such as Dietrich Eckart.

  • Can't be avoided

• Appearance Discrimination

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  The character "Chris Walker" is sometimes refered to as "Strongfat" instead of his name

  • Can't be avoided

• Dehumanization & Objectification

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  One of the core plot elements of this game series is the dehumanization and exploitation of the mentally ill. Whistleblower DLC — a character named Eddie dehumanizes women (or anyone he perceives as a woman).

  • Can't be avoided

• Eugenics

  In both the main game & Whistleblower DLC

  • Can't be avoided

• Misogyny

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — a character named Eddie dehumanizes women (or anyone he perceives as a woman).

  • Can't be avoided

• Sexism

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — a character named Eddie dehumanizes women (or anyone he perceives as a woman).

  • Can't be avoided

• Transphobia

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  You play a man in this game. You will be stalked by another man (Eddie "The Groom") who is under the delusion that you and all other inmates are women. He will attempt to make "alterations" to others to make them fit his view.

  • Can't be avoided

Horror Themes

• Chase & Pursuit

  In both the main game & Whistleblower DLC

  • Can't be avoided

• Ghosts & Hauntings

  In both the main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  An entity known as the 'Walrider' often frightens players due to its ghostly appearance.

  • Can't be avoided

• Jump Scares

  Main component of the game series

  • Can't be avoided

• Psychological Horror

  Main component of the game series

  • Can't be avoided

Kink & BDSM

• Necrophilia

  Main game

  ShowHide potential spoilers or triggers

  There is one instance of an NPC having sex with a decapitated body. This can be avoided: In the prison block, there’s a room you enter, with a crack in the wall. Once you enter the wall hole, (which is vertical and person-sized) you’ll hear a struggle and have to climb up some objects. Once you get to the second floor, look to your left rather than your right and run away a bit to avoid the scene.

  • Is avoidable

Mental Health

• Family References

  • Can't be avoided

• Panic Attack

  ShowHide potential spoilers or triggers

  A lot of the non-hostile patients can be seen having severe PTSD-induced anxiety or panic attacks.

  • Can't be avoided

• Post-Traumatic Stress Disorder

  Multiple individuals

  ShowHide potential spoilers or triggers

  A lot of the non-hostile patients can be seen having severe PTSD-induced anxiety or panic attacks.

  • Can't be avoided

• Psych Ward

  Entire game series

  ShowHide potential spoilers or triggers

  The premise of the game is that those in charge of a mental institution have begun conducting unethical experiments on their charges.

  • Can't be avoided

• Psychosis

  • Can't be avoided

Non-Sexual Abuse & Violence

• Altercations

  Entire game series

  • Can't be avoided

• Assault

  Entire game series

  • Can't be avoided

• Bullying

  • Can't be avoided

• Emotional Abuse

  Entire game series

  ShowHide potential spoilers or triggers

  Patients are regularly emotionally abused

  • Can't be avoided

• Gaslighting

  • Can't be avoided

• Harassment

  • Can't be avoided

• Manipulation

  • Can't be avoided

• Mutilation

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — You have two of your fingers cut off. Whistleblower DLC — a cannibal with a chainsaw and a stalker who tortures and mutilates his victims before ultimately killing them. You watch the mutilation and death of others before nearly being subjected to it yourself. You eventually come across a decapitated male corpse that has been mutilated and posed to look like a woman in childbirth. The man's head has been placed at the groin, as if the child's head is emerging from the womb.

  • Can't be avoided

• Psychological Abuse

  Entire game series

  • Can't be avoided

• Stalking

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — you are stalked by Eddie, who intends on making you his bride.

  • Can't be avoided

Phobias

• Acrophobia

  ShowHide potential spoilers or triggers

  You often have to shuffle along narrow ledges. At least once, you're thrown from the second floor to the floor below. An inmate is pushed off a balcony & dies.

  • Can't be avoided

• Agliophobia

  • Can't be avoided

• Agoraphobia

  • Can't be avoided

• Claustrophobia

  ShowHide potential spoilers or triggers

  A primary game mechanic involves hiding from enemies in lockers and other small spaces. You are occasionally required to travel through tight spaces, such as vents.

  • Can't be avoided

• Emetophobia

  ShowHide potential spoilers or triggers

  After being tortured in the main game, you will vomit.

  • Can't be avoided

• Hemophobia

  ShowHide potential spoilers or triggers

  Blood and gore appear very frequently in the game. At one point, you fall into a pile of gore.

  • Can't be avoided

• Merinthophobia

  ShowHide potential spoilers or triggers

  Multiple patients and characters are tied down to beds, chairs, etc., including you

  • Can't be avoided

• Misc. Phobias

  • Can't be avoided

• Necrophobia

  Entire game series

  ShowHide potential spoilers or triggers

  Dead bodies are frequently found throughout the game and are often mutilated in some way.

  • Can't be avoided

• Nyctophobia

  Entire game series

  ShowHide potential spoilers or triggers

  Darkness is a primary game mechanic and there are many pitch-black areas that cannot be traversed without using the video camera's night vision. The night vision uses up batteries. The batteries are a finite resource and, if they run out, but you will be forced to navigate areas in complete darkness.

  • Can't be avoided

• Ommetaphobia

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Multiple variants have surgery that affects their eyes

  • Can't be avoided

• Traumatophobia

  • Can't be avoided

• Trypanophobia

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  The main characters in both the main game and in the Whistleblower DLC are forcibly administered drugs to knock them unconscious. When the protagonist is sedated, another character continues to hold the needle held in front of him.

  • Can't be avoided

Physical Health & Body Issues

• Acquired Disability

  Amputations

  • Can't be avoided

• Pain & Physical Suffering

  • Can't be avoided

• Terminal Illness

  Lead poisoning, tumors

  ShowHide potential spoilers or triggers

  Rudolf Wernicke shares that multiple individuals had or have tumors made of pure lead

  • Can't be avoided

Religion & Sects

• Religion

  Christianity, priests

  • Can't be avoided

Sex & Erotica (Consensual)

• Masturbation

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Main game — Can be avoided by not looking into the cells on the second floor. If you do, you will encounter a patient saying he wants the nurse to help him get clean while he is masturbating.

  • Is avoidable
  • Can't be avoided

• Nudity

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  A few characters are nude, most notably the twins, and the DLC's Player Character during one torture scene (wherein you are nude and about to get your genitals cut off with a table saw).

  • Can't be avoided

Sexual Abuse

• Child Sexual Assault

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — You will encounter an inmate begging for help, saying that he is going to be raped. Later on, you find documents revealing that same inmate was sexually abused by his father and uncle as a child.

  • Can't be avoided

• Sexual Assault

  Whistleblower DLC

  ShowHide potential spoilers or triggers

  Whistleblower DLC — A doctor licks the side of your face and moans softly. You will encounter an inmate begging for help, saying that he is going to be raped. Later on, you find documents revealing that same inmate (Eddie) was sexually abused by his father and uncle as a child.

  • Can't be avoided

Traumatic Events

• Accidents

  Car crash

  • Can't be avoided

• Human Experimentation

  Entire game series

  ShowHide potential spoilers or triggers

  The premise of the game is that those in charge of a mental institution have begun conducting unethical experiments on their charges.

  • Can't be avoided

• Structure Fire

  Main game & Whistleblower DLC

  ShowHide potential spoilers or triggers

  Towards the end of the main game, Father Martin lights himself on fire on a cross. The fire eventually consumes the entire chapel. Towards the end of the Whistleblower DLC (which runs concurrently to the main game) you can see the chapel ablaze in the distance.

  • Can't be avoided

Violence in History

• Reminiscent of Violent Historic Event

  ShowHide potential spoilers or triggers

  Dr. Wernicke has ties to the Nazi party. Some documents within the game contain references to real-life Nazis, such as Dietrich Eckart.

  • Can't be avoided

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