This is an action-horror game in which players assume the role of Nick Ramos, a mechanic survivor in a fictional city during a zombie outbreak. As players explore the open-world environment, they use blades, firearms, chainsaws, and hand-to-hand combat to kill hordes of zombies and, at times, human survivors. Players can also use various found objects/constructed objects (e.g., sledge saw, electrified stoplight) or combine vehicles (e.g., motorcycle steamroller combo) to dispatch multiple enemies at once. Red blood-splatter effects occur frequently, and blood sometimes stains the ground and surrounding walls. Zombies often get dismembered and decapitated during gameplay (e.g., zombies cut in half with saws; zombies' heads chopped off with kitchen knives). Cutscenes also depict instances of gore and intense violence (e.g., a man cutting himself with a hand saw and pulling out his intestines). During the course of the game, some female characters are depicted in revealing outfits (e.g., lingerie, leather-bondage gear). One boss character is shown caressing her chest during a cutscene; in one extended sequence, a boss battle includes several instances of sexual innuendo (e.g., phallic-shaped flamethrower; white mist shooting out of the weapon after defeat). Players can also visit a XXX supply shop to obtain a "massager" item (shaped like a sex toy) to use as a weapon against zombies. Players' character can drink various alcoholic beverages (e.g., wine, vodka, beer) to regain energy; if the character drinks too much he will vomit. The words “f**k,”“sh*t,” and “a*shole” can be heard in the dialogue.