PAIN-TO-WIN is a top-down horror shooter set inside a hostile asylum functioning as a meat grinder: a closed, filthy place where killing is a job, death comes with paperwork, and everyone is trying to sell you something. Clinics, casinos, cults, armed gangs, brain surgery and questionable insurance policies. Almost everything has a price.

• Violence is part of the routine. Contracts, organ trade, dealers and other small businesses keep things moving.

• The asylum is easy to get lost in. Detours, dead ends and loops are common. Some places are useful. Some are not.

• Combat leaves a mess. Rooms end up full of debris, blood and bodies, and it is not always clear what is still happening.

• Some people are willing to talk before things get worse. Trade, listen, walk away, or kill them.

• Guns, blades, saws and explosives all solve problems differently.

• Perks and upgrades come from trade, scavenging and occasional brain surgery.