The Suffering: Ties That Bind is a revolutionary action-horror game that emphasizes the disturbing terror of its predecessor, with all-new twisted creatures and a few familiar faces. Set in the slums and prisons of Baltimore, the player once again controls Torque as he seeks revenge against the mysterious grand manipulator Caleb Blackmore, a man somehow tied to the death of Torque's family. Players will explore the tough and unforgiving inner-city streets, with poverty and urban injustices trapping people just as effective as a physical prison. The unique morality system returns, as players delve into the perverse world of Torque's sanity to discover his past and struggle to control his future.