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"These modes are intended for players who have already completed the game normally and are looking for a different replay experience.
VETERAN
Pickups give less health and ammo, damage to the player is doubled, and crosshair is disabled.
CASUAL
Player begins with the flashlight and bolt gun with full ammo and the fire speed upgrade, and the bolt gun never needs reloaded. The introduction is skipped.
LIGHTS OUT
As the name suggests, in this mode the player is unable to use the flashlight, and must rely on other sources such as environmental lights or muzzle flash.
IRON HORSE
The same as veteran mode, except that the player instantly dies from taking any damage"