The player cannot directly fight against enemies, and stealth is the preferred way to progress in the game. Players can pick up various useful objects, such as anti-psychotic drugs, lockpicks and healing items, but they can only carry three items at once. It needs to be regularly recharged with a scarce battery resource. The player has access to a pair of night-vision goggles, allowing them to navigate dim-lit areas. Each class has a unique ability, allowing players to perform actions such as seeing through walls, healing other players, placing mines, and throwing a device to temporarily stun enemies. The game features four distinct character classes and skill trees.

The player must complete a set of tasks while evading monstrous enemies.

While the game supports four-player cooperative multiplayer, players can complete the game solo. The Outlast Trials is a survival horror game played from a first-person perspective. The game is scheduled to be released on via early access for Microsoft Windows. It is the fourth installment in the Outlast series, serving as a prequel to the first two games and features test subjects in a mysterious Cold War experiment. The Outlast Trials is an upcoming first-person psychological horror survival video game developed and published by Red Barrels.

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