Armed only with a camera equipped with a night vision mode and a directional microphone, Blake has a goal not to fight and hack through the cultists but rather to sneak about unseen, record the atrocities he sees, track down his wife, and survive. Separated from Lynn, Blake finds himself in the midst of crazed religious cultists who spout unholy gospel, while also torturing and murdering outsiders. In OUTLAST II, veteran cameraman Blake Langermann is investigating a story with his wife, television reporter Lynn Langermann, when the helicopter ferrying the pair to a remote location crashes in the forest. Parents should also note that the story makes heavy use of Christian concepts and symbolism, which the cultists pervert to justify their vile actions.

Blake frequently uses extremely strong profanity in response to what he sees. A woman dies giving bloody birth to what players are meant to assume is the Antichrist. Players also witness, from behind walls, the apparent rape of Blake's wife, as well as other scenes in which women's breasts are shown. Mutilated bodies litter the environment and are hanged from trees, locked in cages, and bound in grotesque shapes with wires. Players are also witness to other acts of violence, such as the murder and torture of others - including a half-naked woman being stretched to death on a rack. Getting spotted typically leads to Blake, the protagonist, being brutally stabbed or bludgeoned to death, which the player views from an intense first-person perspective as he screams in agony. Players neither fight nor kill their aggressors - a group of isolated and murderous religious cultists - but instead attempt to survive by staying out of sight. Parents need to know that Outlast II is a downloadable survival horror game.

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