Quite literally Cock & Ball Torture: The Game. I'm rating this slightly low just because it's very short and there are a couple of sequences that were just annoyingly tricky - in the late game, you're afflicted with a massive limp that leaves you with virtually no room for error in chases. Still, the handful of new villains were particularly memorable, and it's cool how this acts simultaneously as a prologue to Outlast's main story and, following a lengthy time skip, an epilogue, although it would have been nicer to spend a bit more time exploring both the chaos of the initial 'outbreak' and the grisly 'cleanup' afterwards.