Casualties: Unknown

A hardcore survival game that ties cave exploration to extremely detailed injury management, trading constant pressure and high difficulty for a strong sense of immersion.

What players love

• The injury and medical systems are richly detailed; most injuries can be saved with correct treatment, and failure is more easily attributed to your own actions

  I've played since around V5pretest1 when crafting was added on itch.io, this game genuinely has been an amazing experience i have around 400h with all versions combined (playtest, demo,5.1 and before, 5.1 and before with…

  Recommended · 39 h played · 2026-11-09

• Very difficult but learnable; once you understand the rules it gets smoother and the sense of achievement is strong

  It is hard as NAILS. but overtime once you learn it bit by bit, it is pretty fun

  Recommended · 3 h played · 2026-11-10

• Art, music and sound design are well received, and each layer's environment is clearly distinct

  This game is truly a masterpiece. From the visuals, to the OST and sound design, it has blown me away. C:U has revived my interest in gaming and I am very grateful for that! The health system and subsequent mechanics are…

  Recommended · 110 h played · 2026-11-09

• The oppressive, horrifying atmosphere delivers a strong emotional impact and immersion

  the game can be very scary for some people like me, when you think nothing will go wrong, the next 10 seconds everything can be suddenly wrong and its easily overwhelming. though i will warn you if you feel strong empath…

  Recommended · 6 h played · 2026-11-10

• Challenge modes and settings options provide considerable replay space

  this game is the best realistic caving games ive played in a long time. the overhauled health system is a very nice touch. makes you really feel like your actions actually have consiquences and they VERY much do. i would…

  Recommended · 5 h played · 2026-11-10

What players complain about

• Loot and key medicines rely too heavily on random generation; when the needed items cannot be found, the whole run's progress is void, and death does not feel like your own mistake

  Still has the same issues as the demo. Elder thornbacks are still a gear check, strokes are still too easy to have from just a minute of overexertion and guarantee death without a few basically uncraftable medicines, int…

  Not recommended · 4 h played · 2026-11-09

• The full release adds limited content over the demo, and later layers lack fresh mechanics and threats, weakening the drive to explore

  As it stands right now, either play the demo, or mod the hell out of it. 0 QoL added since demo. Still no selling from bags, still no save and quit for if you have to leave a run mid-layer, etc. Any layers past layer 5 j…

  Not recommended · 9 h played · 2026-11-09

• No in-layer saving or mid-run exit, forcing long uninterrupted runs

  None of the core issues i had with this game were addressed upon full release. Crafting is still oppressive and poorly put together, and the idea of needing to beat this game twice over to play the new characters is insu…

  Not recommended · 1 h played · 2026-11-09

• The crafting flow is cumbersome and the information is not intuitive, criticized as overly burdensome

  Please scroll down for the English version 总体而言，大家可以观察一段时间再入手，现在的未知伤亡有一些无法忽视的缺陷。 我真心希望爱狗TV是一个好游戏，demo游玩大概100小时，我也和朋友一起玩了不少时间，但是正式版让我非常失望。 第一点 相较于demo，新增可合成物品仅有三个等级的假肢，本质上也就是一个物品。在层级方面，我带着期待的用指令冲进了后面的层级，但6-10甚至11层没有任何能让人感…

  Not recommended · 2 h played · 2026-11-09

• Traps and scene objects can spawn overlapping, and there are even severe issues such as getting stuck in place and getting stuck during layer transitions

  原地卡死力竭的恶性bug，莫名其妙的结局剧情，不加mod改良体验感甚至完全不如5月份的原版demo，这个价格真的不值，不建议现在入

  Not recommended · 1 h played · 2026-11-09

• The ending's story handling is disappointing

• The price does not match the full release's scope, and it is considered not worth buying at the current price

• Taunting text in the pause menu and the repeated confirmation for suicide add to the psychological pressure

  demo版本的游玩让我对这个游戏包有期望 我买这个游戏只是因为你们demo做的足够优秀，我很讨厌暂停菜单里那些嘲讽的语言和反复确认的自杀，为什么要让这款硬核游戏的玩家再加上这么一重心理压力？而且正式版对比试玩版真的有什么内容上的提升吗？我非常怀疑这是否是一款一次性游戏，更别提本就压抑的环境中继续用这种话语攻击玩家了。

  Not recommended · 1 h played · 2026-11-10

Why it might be taking off

These are hypotheses drawn from reviews and data, not confirmed facts.

• Medium confidenceHigh difficulty and the survival pressure of "you could die at any moment" may be the main selling point attracting core players
• Medium confidenceThe detailed medical and injury simulation may be part of why positive reviews cluster around it
• Medium confidenceThe oppressive, horrifying atmosphere and emotional impact may prompt players to recommend it to others on their own
• Low confidenceThere were 794 positive and 19 negative reviews on launch day, and 609 positive and 23 negative the next day; this distribution may be related to word of mouth concentrating around launch, but a two-day curve alone cannot determine the cause
• Low confidenceThe $19.54 price is in the paid tier, and price itself may be one variable affecting its audience reach
• Medium confidenceThe combination of survival, psychological horror, 2D, difficult, pixel, gore and permadeath tags may naturally appeal to players who prefer hardcore and dark themes

The sample is not exhaustive: up to 2 pages each of toprated and mostrecent were taken per language; the store page shows 1414 total reviews and a 97% positive rate, and this analysis is based only on the given review sample and the two-day curve.