Escalation Therapy is a game mode inThe Outlast Trialsthat increases the difficulty tenfold. This trial mission is better played by experienced players who have been Reborn once or twice before because it requires you to memorize Core Therapy trials.

In the Escalation Therapy game mode, you’re basically playing naked and afraid. You have nothing at your disposal at the start of the trial. The trial is meant to be hard to beat, so we’ve compiled what you need to know in order to survive.

A description of the Escalation game mode in The Outlast Trials.

Increased game mode difficulty

Limited loadout

Three cards offering different abilities.

Reward

XP, achievements

Thisgame mode is endlessand increases in difficulty as you progress. The purpose isfor experienced playersto get more out of the game, after being Reborn a bunch of times.

Game trial selection menu in The Outlast Trials.

The difficulty will increase every five, ten, or twenty games in Escalation Therapy. There are four difficulty levels in The Outlast Trials. Difficulty can be adjusted in normal game modes such as Core Therapy. In Escalation Therapy, the trials will begin to increase in mode difficulty,reaching Psychosurgerylevel.

Press ESC or the menu button to view what level of Escalation Therapy you are currently on.

Two players, side by side in the end screen of an Outlast Trial mission.

Trials will have Variators. These are game changes that make surviving harder. Almost all Variators in the game can come up in Escalation Therapy. These make the enemies stronger, increase their spawn rate, and can even allow them to one-shot.

Everyperk, upgrade, and Rig you own gets thrown outat the start of Escalation Therapy. Part of what makes this trial so difficult is that youdon’t have any of your regular tools at your disposal. You will have to start fresh.

At the start of each Escalation Therapy trial, you get tochoose a Rig and some perks. You will have tobuild onto this makeshift loadoutin a way that helps you get to the end of the objective.

If youcomplete the secondary objectiveof collecting posters, you gain the ability to selectone extra upgrade selectionat the beginning of the next trial.

Your items at the end of the last trial carry on to the next—likewise, your potentiallydamaged health bar transfers to the next Escalation Therapy trial.

The trials willonly end when all players die. The game records how far you’ve gotten in the trials last time in order to encourage you to beat your high score.

The maps and objectives in Escalation Therapy mimic other trials in the game. It is not new content.

How To Prepare For Escalation Therapy

You shouldn’t try Escalation Therapy until you havecompleted all of the Core Therapy and Weekly Therapy trials. Escalation Therapy includesall Core and Weekly maps and objectivesin a more challenging environment. If you have completed these trials, you can bettermemorize the mapsand finish objectives quickly.

If you’re able to complete trials with your eyes closed, then you are at increased odds of succeeding in making it through Escalation Therapy.

Because your items and health transfer to the next trial, you want toincrease the speed at which you complete objectivesand theskill at which you de-aggro enemies.

Getting good at ending a chasewith an enemy will allow you toget back to the objective without constantly having to runfor your life.

Lockers and barrels are the obvious hide spots for when you are being chased, but it’s important to remember that you canuse the dark and furniture to your advantage when hiding.

As a solo player, it’s important to end a chase quickly so you’re able to get back to the objective. In a group, you may want to entertain the enemies so that your other team members can complete objectives.

How To Beat Escalation Therapy

All you have to do is survive and complete the objectives. To do this effectively, memorize the Core Therapy trial objectives and maps. We have multiple guides detailing how to complete the objectives in Core Therapy.

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To verify you can survive, select the perks that best help you in a panicked situation. TheHeal Rig and Stun Rig are the best.

Select perksas theycorrelate with your flaws. If you always find yourself getting attacked by enemies in lockers, select the perk that allows you to clear lockers with throwables.

You won’t be able to pick any perk you want, as it is randomized at the beginning of each Escalation Therapy trial. As asolo player, you’re able to use theHeal Rigandselect defensive perksif you’re just focused on surviving.

In a group, there is more room for error and allowing other players to select different Rigs and perks.

Hide and Heal

Two or more players

Hide and Restore