Players must escape from a diseased city while managing starvation, exhaustion, and their mental health in Lone Survivor. Users can use either stealth or violence as a means to survive but their actions will impact how the story unfolds around them. One of two paths can be followed in each play through with each path taking an estimated 4-6 hours to complete. There are 125 locations to visit, items to craft, and numerous hidden side quests to uncover. The Director's Cut adds enhanced lighting, new areas, one additional enemy type, more items, three side quests, and two original endings.