Outlast 3 was announced in December 2017, though no time frame or target platforms were confirmed.

The player cannot directly fight against enemies, and stealth is the preferred way to progress in the game. Players can pick up various useful objects, such as anti-psychotic drugs, lockpicks and healing items, but they can only carry three items at once. It needs to be regularly recharged with a scarce battery resource. The player has access to a pair of night-vision goggles, allowing them to navigate dim-lit areas. Each class has a unique ability, allowing players to perform actions such as seeing through walls, healing other players, placing mines, and throwing a device to temporarily stun enemies. The game features four distinct character classes and skill trees. The player must complete a set of tasks while evading monstrous enemies. While the game supports four-player cooperative multiplayer, players can complete the game solo. The Outlast Trials is a survival horror game played from a first-person perspective.

The game was released on via early access for Microsoft Windows. It is the third installment in the Outlast series, serving as a prequel to the first two games and features test subjects in a mysterious Cold War experiment. The Outlast Trials is a first-person psychological horror survival video game developed and published by Red Barrels.

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