~»Skaarj!«~

The player does not have access to weapons; the only tools available are glow sticks, flares, and a cell phone. The game's environment and layout are randomly generated for each gameplay, and antagonists are randomly spawned.
The player has to search for "remnants" of the hospital's past by looking for markings using glow sticks. Discovering remnants can cause a marking on her arm, which attracts the dangerous "shadow people". The player can either make them disappear by using flares or lose them by running away. Sometimes, the player has to collect items that are significant to the hospital's past, including a

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and a

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. Bringing these items to "the Seal of Shadows" will unlock another part of the building, allowing the player to advance further into the hospital and, possibly, to freedom.
The game's interface includes the number of remnants the player has to find and the threat level in the hospital. As threat level increases, monsters are more likely to appear.