The Outlast Trials Game Review

Welcome to the therapy you didn't ask for. The Outlast trials made of nightmares and depravity. Let me brain wash you into playing this game.

If thereโ€™s one game that perfectly scratches my itch for chaos, fear, and straight-up psychological torment, itโ€™s The Outlast Trials. This isnโ€™t just horrorโ€”itโ€™s depravity wrapped in co-op survival, and honestly, thatโ€™s exactly why itโ€™s become one of my go-to games.

A picture of the outlast trials cover.

Welcome to the Therapy You Didnโ€™t Ask For

Set during the Cold War, The Outlast Trials throws you into Murkoff Corporationโ€™s twisted experiments, where โ€œtherapyโ€ means enduring sadistic trials designed to break your mind. Whether youโ€™re playing solo or with friends, every session feels unpredictable, tense, and completely unhinged.

What I love most is how the game leans fully into discomfort. It doesnโ€™t hold back. The environments are filthy, the objectives are disturbing, and the enemies? Absolutely nightmare fuel.

A picture of one of the trials in The Outlast Trials, Orphanage.

The Trials: Where Things Get Messy

Each trial feels like its own sick experiment, forcing you to complete objectives while being hunted. Some standout trials include:

  • Kill the Snitch โ€“ Hunt down a screaming victim strapped to a chair while enemies close in. Itโ€™s stressful, chaotic, and sets the tone perfectly.
  • Sabotage the Factory โ€“ Navigate an industrial hellscape while destroying equipment under constant threat.
  • Release the Prisoners โ€“ Sounds nobleโ€ฆ until you realise everything is designed to go wrong.
  • Cleanse the Orphans โ€“ Easily one of the most disturbing setups, blending moral discomfort with pure horror gameplay.
  • Vindicate the Guilty โ€“ A brutal mix of stealth, timing, and panic.

And much much more! Each trial pushes you to adapt, whether that means stealth, teamwork, or just sprinting for your life.

A picture of two of the bosses in The Outlast Trials.

The Bosses: Faces You Wonโ€™t Forget

What really elevates The Outlast Trials are its โ€œPrime Assetsโ€โ€”basically the bosses who stalk you relentlessly. Each one feels like a fully realised horror character:

  • Mother Gooseberry โ€“ A deranged childrenโ€™s TV host with a puppet, switching between cheerful and utterly terrifying in seconds. Unpredictable and deeply unsettling.
  • Sergeant Coyle โ€“ A corrupted authority figure obsessed with punishment. His presence alone ramps up the tension instantly.
  • Franco โ€œIl Bambinoโ€ Barbi โ€“ Loud, grotesque, and impossible to ignore. Youโ€™ll hear him before you see himโ€”and thatโ€™s never a good sign.
  • The Priestess - Scary and deadly.

These arenโ€™t just enemiesโ€”theyโ€™re personalities, each adding to the gameโ€™s oppressive, depraved atmosphere.

A picture of the rigs from The Outlast Trials.

How You Actually Survive the Madness

At its core, The Outlast Trials sticks to what makes Outlast so iconicโ€”you donโ€™t fight back, you survive.

Youโ€™re thrown into first-person chaos where your only real options are:

  • Hide (lockers, under beds, shadows)
  • Run (and pray you donโ€™t hit a dead end)
  • Work together (or abandon your friendsโ€ฆ no judgement)

The game constantly forces you to complete disturbing objectives while being hunted. Youโ€™re not just wanderingโ€”youโ€™re actively:

  • Solving puzzles
  • Carrying heavy objects
  • Escorting or chasing targets
  • Avoiding traps like electrified floors and noise triggers

And Murkoff does give you toolsโ€”but nothing overpowered. You can use the rigs and equip what works best for you and the trial you are in. The rigs you can use are:

  • Stun or blind enemies
  • Heal teammates
  • See through walls temporarily with the X-ray
  • Set up distractions and broke enemies from entering the room with the Barricade
  • Or even disarm bombs and traps with the Jammer and turn them into ones that hurt the enemies and not you or your teammates

But hereโ€™s the catch: every tool has limits. Use it wrong, and youโ€™re done.

A picture of one of the locations in The Outlast Trials.

All Types of Trials & Programs (The Real Variety)

The game isnโ€™t just a handful of missionsโ€”itโ€™s layered with different programs and trial systems that completely change how you play.

Program Genesis (Main Story Path)

This is the core experienceโ€”the structured path of trials leading to โ€œRebirth.โ€
Think of it as your descent into madness, one objective at a time.

Escalation Mode

This is where things get brutal:

  • You start with nothing
  • Trials become randomised
  • Difficulty keeps increasing until you fail

Itโ€™s basically a test of enduranceโ€”how long can you survive before everything collapses?

MK-Challenges

Shorter, more focused objectives taken from full trials:

  • Faster gameplay
  • Less forgiving
  • Great for grinding or quick chaos

Trial Maker (Create Your Own Nightmare)

This is where things get really interesting.

With Trial Maker, youโ€™re not just surviving horrorโ€”youโ€™re designing it.

  • You can customise trials using existing maps and objectives
  • Add variators (modifiers that make things worseโ€ฆ or way worse)
  • Save and share up to 10 custom trials

Want no healing? Done.
Want constant enemies? Done.
Want pure suffering? Absolutely done.

It turns the game into something almost sandbox-like, and honestly, it feeds perfectly into that love of chaos and depravity. Youโ€™re not just a victim anymoreโ€”youโ€™re part of the experiment.

A picture of the reagents in Invasion in the game The Outlast Trials.

Invasion Mode (Where Trust Dies)

Then comes Invasion, and this is where the game flips everything you thought you knew.

Instead of just AI enemies, you now have real players hunting you.

How it works:

  • You can play as:
    • Reagent (survive the trial)
    • Imposter (invade and kill players)
  • Imposters disguise themselves as teammates
  • They strike when you least expect it

Youโ€™ll literally second-guess everyone:

โ€œWas that my teammateโ€ฆ or am I about to get stabbed?โ€

Key mechanics:

  • Imposters have a time limit to hunt before being forced out
  • They can monitor you using cameras before attacking
  • The more players, the more imposters appear
  • Roles can swap between matches

And the best (or worst) part?
You unlock it after putting serious time inโ€”so when it hits, youโ€™re already attached to your teamโ€ฆ which makes betrayal hit harder.

A picture of the police station in The Outlast Trials.

The Constant Threat System

Even outside of Invasion, the game keeps things fresh with:

  • Routine Therapies (modifiers like no meds, no rigs, no running)
  • Seasonal Programs & Events
  • Randomised secondary objectives

No two runs feel identical, and that unpredictability is what makes it so addictive.

Why This Hits Different for Me

This is exactly why I keep coming back.

Itโ€™s not just horrorโ€”itโ€™s interactive stress, paranoia, and controlled chaos.

  • One run, youโ€™re perfectly coordinated
  • Next run, your team falls apart instantly
  • And then thereโ€™s that momentโ€ฆ when everything goes wrong at once

Thatโ€™s the magic.

It taps right into my love of horror and full-on depravityโ€”not just visually, but psychologically. It forces you into uncomfortable situations and makes you adapt or fail.

A picture of the Priestess from The Outlast Trials.

Yes โ€” the newest big update for The Outlast Trials is Advent of Bogomolova, and honestlyโ€ฆ it sounds like one of the most unhinged content drops theyโ€™ve done in a while. It launched in February 2026 and added new MK-Challenges, new Routine Therapies, a limited-time event and catalog, anniversary rewards, and the return of Join-in-Progress. Steamโ€™s update feed also shows Season 6: Project Judas went live on March 24, 2026, so players are now rolling straight from the anniversary/event content into the newest seasonal cycle.

Whatโ€™s actually new?

1) Advent of Bogomolova event

This update introduced a brand-new limited-time event themed around Sister Liliya / Bogomolova, with its own themed atmosphere, rewards, and event catalog. Itโ€™s basically more Murkoff madness, but with a very distinct creepy-religious / cult-ish flavour โ€” which feels perfectly on brand for Outlast.

2) New MK-Challenges

Two new MK-Challenges were added:

  • Eliminate the Legacy
  • Flatten the Foreman

These are exactly the kind of side-trial content I love in this game because they give you fresh reasons to jump back in without needing a full huge story drop every single time. More objectives, more panic, more ways for Murkoff to ruin your night.

3) New Routine Therapies

This update also brought in two new Routine Therapies:

  • Deadlock
  • Burnout

And if you already love the game for how oppressive and unfair it can feel in the best way possible, these are the kinds of additions that keep the gameplay feeling cruel, fresh, and replayable. Routine Therapies are what really help the game avoid going stale because they force you to adapt instead of just memorising routes.

4) Join-in-Progress is back

One of the most practical quality-of-life additions is the return of Join Trials in Progress, meaning you can jump into active runs again instead of getting locked out of the fun if someone disconnects or youโ€™re joining late. For a co-op horror game, thatโ€™s honestly a massive improvement.

5) 2-Year Anniversary rewards

The update also celebrated the gameโ€™s 2-year anniversary with special tasks and rewards, giving players more cosmetics and reasons to grind. Itโ€™s not the โ€œmainโ€ reason people play, but letโ€™s be honest โ€” if Iโ€™m getting traumatised in a Murkoff facility, I at least want to look good doing it.

A picture of one of the enemies from The Outlast Trials.

What are players saying about it?

Community reaction so far actually looks really positive overall. A lot of players on Reddit are calling it one of the best updates theyโ€™ve done, especially praising the new trial atmosphere, map design, and how fun some of the new content feels solo or in co-op.

That said, there are also some very Outlast Trials-type complaints โ€” mainly that at least one of the new objectives/puzzles (especially the โ€œSolve the Murderโ€ style challenge people are talking about) feels confusing on first playthrough, and some players are already saying they had to brute-force or look things up. So basically: brilliant horror vibes, slightly chaotic Murkoff logic. Whichโ€ฆ kind of fits, honestly.

A few players also mentioned they were hoping for more Invasion-specific fixes or balance changes, so if youโ€™re especially into the PvP betrayal side of the game, this may not feel like a full dream update just yet.

A picture of The Outlast Trials project relapse.

Why this update actually matters

What I think makes this update good isnโ€™t just โ€œnew stuffโ€ โ€” itโ€™s that it keeps feeding the exact reasons people love this game:

  • fresh objectives
  • more disturbing environments
  • new ways to suffer
  • more replay value
  • more co-op chaos

Thatโ€™s what The Outlast Trials does best. Itโ€™s not just scary โ€” itโ€™s degrading, intense, uncomfortable, and addictive, and updates like this keep that energy alive.

And honestly? Thatโ€™s why it remains such a go-to horror game. It doesnโ€™t just give you jumpscares. It gives you stress, dread, betrayal, panic, and complete nonsense with your friends โ€” and somehow that makes it even better.

My quick verdict

If you already love The Outlast Trials, this update sounds 100% worth jumping into.
If youโ€™ve stepped away for a bit, this is a really solid excuse to come back. Murkoffโ€™s still cooking, and unfortunately for usโ€ฆ the food is absolutely deranged.

Why I Keep Coming Back

Iโ€™ll be honestโ€”this game taps right into my love of horror and all things twisted. Thereโ€™s something about the sheer intensity of it. The panic when your team splits up, the adrenaline when a boss is right behind you, the relief when you barely make it out alive.

Itโ€™s not just about survivingโ€”itโ€™s about enduring.

And playing with others? Thatโ€™s where it becomes unforgettable. The mix of fear, laughter, and absolute chaos when everything goes wrong is unmatched. No two runs ever feel the same, and that unpredictability is what keeps pulling me back in.

Banner of the outlast trials game.

Final Thoughts

The Outlast Trials isnโ€™t for the faint-heartedโ€”and thatโ€™s exactly why it works. Itโ€™s grim, itโ€™s brutal, and it doesnโ€™t apologise for any of it.

For me, itโ€™s more than just a gameโ€”itโ€™s an experience I keep choosing to dive back into, no matter how disturbing it gets. If you love horror that pushes boundaries and arenโ€™t afraid to get a little uncomfortable, this is one trial worth takingโ€ฆ just donโ€™t expect to come out unchanged.

The Outlast Trials doesnโ€™t just want to scare youโ€”it wants to break you, rebuild you, and then throw you back in again.

And honestly?

Thatโ€™s exactly why itโ€™s one of my favourite games to play. Trust no one, expect nothing, and embrace the chaosโ€”because in Murkoffโ€™s world, survival is just another part of the experiment. As a female gamer I tend to shock the male population at this game which gives me another reason to play harder and school those that would disrespect me. Find me in a match and ill keep you alive for sure.

Eve

<3

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