The game is heavily focused on and survival management :

Sprinting is limited by a stamina bar. It's often safer to move cautiously and listen for entity-specific noises. Key Levels & Entities

The game features several distinct environments, each with its own threats: Inside the Backrooms on Steam

You must manage essential supplies like Almond Water for health and Pills to lower anxiety, which can blur your vision if it gets too high.

Each level—from the initial Lobby to the Sewerage and Terror Hotel—features unique puzzles, such as temperature-coded locks, keycard hunts, and parkour challenges.

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