The Heilwald Klinikum used to be one of the most renowned medical facilities in Germany. That all changed when that curious loophole appeared...
Players cannot permanently die in the game - instead, every time they are caught or killed by the various enemies, the game transports them to a new room or area, often with new items or clues to discover. Reviewers appreciate how this removes the frustration of traditional survival horror games where repeated failures can break immersion, and instead transforms the loop into an integral part of the gameplay.
The looping mechanic lends itself to a high degree of emergent gameplay, as players can freely try different approaches and strategies to navigate the twisted halls. Reviewers highlight how the game provides a diverse set of routes, secrets, and optional content that rewards repeated playthroughs and non-linear exploration, with each playthrough unfolding differently based on the choices made.
While permanent death is absent, reviewers still praise the stealth-based gameplay for creating a pervasive sense of unease and dread. Navigating the dimly-lit corridors and hiding from the various unsettling enemy characters is consistently described as tense, with the game's emphasis on environmental storytelling and ominous ambient sounds further heightening the psychological horror.
A major highlight for many players is the cast of strange, disturbing, and often darkly humorous characters encountered throughout the facility. Enemies like the deranged Nurse Anne, the trash-eating Trash Man, and the explosive Neglected Patient are widely praised for their memorable designs and unsettling audio cues. The game's blend of horror and black comedy is celebrated, offsetting the more unnerving moments with moments of levity and absurdity.