Part 44

Master Painkiller's Trauma mode with this guide. Learn about card configurations, save points, level progression, and unlockable content to conquer the Tower and beyond.

This section of the guide focuses on the 'Trauma' game mode in Painkiller. It provides insights into card configurations, the implications of carrying over unlocked cards, and the save system specific to Trauma mode.

Trauma Mode Specifics:

• Card Carry-over: All cards are unlocked at the end of each Trauma level, regardless of whether you met their conditions. This allows for more freedom in weapon and exploration choices.
• Saving: Quicksave is disabled. Checkpoints act as autosaves, requiring careful planning of battles to conserve health and armor before proceeding.
• Level Progression: Lucifer is dead, and the three fifth-level maps leading to Hell are removed. The Trauma game concludes in the Tower, with Alastor as the final boss before the 'Painkiller's true story' ending.
• Forest Level: The hidden Forest level, containing the 24th tarot card, becomes accessible after completing level 4/3 Babel. It replaces The Tower as level 4/4, with The Tower moved to 4/5. A guide for the Forest level is in section 3.19.
• Card Unlocks After Trauma: Completing Trauma mode unlocks all cards. However, starting new games (Daydream, Nightmare, Insomnia) may remove certain cards, specifically those tied to levels unreachable in Trauma mode (Docks, Old Monastery, Hell) and the Forest level card. The City On Water card is retained despite its level being locked out of Trauma.
• Restarting Trauma: To restart Trauma mode with all 24 cards, reload from the autosave at the beginning of the Atrium Complex level. This will cause you to miss the Cemetery level.
• Autosave Glitch: An autosave for City On Water may appear on Trauma difficulty, even though the mode ends after The Tower. Loading this autosave resets the map to the Cemetery.

Congratulations on completing Painkiller, especially on Nightmare difficulty. This guide hopes to have been helpful.

Contributions:

This section lists the version history and contributors to the guide, detailing specific sections and dates of their contributions.