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Three years after the horrors of the USG Ishimura, Systems Engineer Isaac Clarke awakens on the Sprawl, a massive space station orbiting Saturn, haunted by visions of his dead girlfriend and plagued by amnesia. He must survive a fresh Necromorph outbreak using advanced zero-gravity combat tools like the Javelin, telekinesis, and dismemberment traps to fight through the chaos. As Isaac battles his way through the station's depths, he seeks answers to end the nightmare while mastering full 360-degree movement and physics-based puzzles.