"The Suffering: Ties That Bind is a sequel that will surpass the original in every way, with more action, a darker storyline and plenty of disturbing and twisted creatures," said Alan Patmore, president, Surreal Software. "The terror expands outside of the prison walls as players' actions and moral choices are now tied to the new multi-leveled insanity mode, directly affecting the game's plot with each path providing an entirely different experience."