Game is focused on survival on an island which involves killing all other characters using a variety of weapons, some of which are horrific in nature such as a chainsaw. In practice, none cause any injuries commensurate with the object used and regardless of the type of item used to kill a character the effects remain the same; characters will grunt and make agonised pain sounds, this is accompanied by lots of blood splatters. When a character dies there is a gratuitous amount of blood on the clothing and surrounding area, but no visible injuries.