In Worse Than Death, players control Holly, navigating through a series of chilling environments while solving puzzles and avoiding unseen monsters. The gameplay emphasizes stealth and environmental awareness, requiring players to use sound and light to track threats and stay hidden.

The storyline follows Holly as she returns to her hometown for a high school reunion, only to confront dark secrets and a terrifying force that endangers her and her best friend, Flynn. As the narrative unfolds, players uncover unsettling truths about their past and the town.

Worse Than Death stands out with its hand-drawn 2D visuals, rich 3D positional audio, and a unique gameplay mechanic that involves tracking monsters through sound and Holly's heartbeat, creating an immersive horror experience.