Trauma

The Trauma is an enemy creature from the survival-horror game The Evil Within. Like every enemy in the game, it represents a particular aspect of Ruvik's mental state. In the Trauma's case, it represents Ruvik's resentment of his father's religion and how it had been forced upon him as a child.

Appearance
The Trauma resembles a naked, mutilated humanoid with dead, gray skin and various wounds and lesions on its arms, legs and back. Its head is especially worse off as the top half of the head is missing, revealing glistening soft tissues and exposing the inside of the mouth to the open air. A large wooden beam has been forced through the skin and muscle tissue on the upper back and the creature's arms are joined to it by a series of chains and manacles. The beam has several large nails embedded in it and a harpoon claw chained on the left end. The right end of the beam has been broken off but remains shackled to the Trauma's right forearm, extending that arm's range of attack. The beam on the forearm is also covered in metal spikes and has three curved metal claws on the end for disemboweling victims.

Behaviour
Traumas are normally rather slow due to the weight of the beams on their backs, but they are capable of sudden bursts of speed when agitated. While they don't appear to have any sensory organs, they are still capable of tracking prey regardless. Like the Haunted, it can be distracted by loud noises, so it may be prudent to keep bottles handy and throw them to lure the creatures away.

The Trauma's main means of attack are bludgeoning its prey with its wooden beam or slashing at them with its clawed gauntlet. If Sebastian Castellanos is on low health and at a fair distance, the Trauma will launch its grappling hook at Sebastian and pull him in to be impaled upon its claws.

Combat
Although its attacks are relatively easy to evade, the player tends to encounter the monster in confined rooms which can make escaping it difficult. Unless the player has plenty of shotgun shells, it is not advised to fight it with standard firearms as it can absorb a huge amount of damage. Explosive bolts and grenades can be very effective. Freeze and Shock Bolts are also quite useful when battling against more than one Trauma since they affect not only the immediate target but any other foes in close proximity.