The Suffering: Ties That Bind is a psychological horror video game, released in 2005 for the Xbox (among other platforms). It is a direct sequel to 2004's 'The Suffering' and continues the story of Torque, a man with a troubled past and an uncertain future, as he confronts the demons and dark entities haunting the streets of Baltimore. As a blend of first and third-person action, players navigate through a dark and menacing world, facing moral decisions and engaging in intense combat against ghastly creatures.