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The background of The Entity is unknown.
It is the role of the killers to sacrifice survivors to The Entity. This is done by hanging survivors on hooks.
After sacrificing a survivor to The Entity, a killer will receive sacrifice points.
After a hooked survivor has under half of their health remaining, The Entity will attempt to take them.
If a player has over half of their health remaining when they are hooked by a killer, they will be able to struggle against The Entity, however their health will continue to slowly deplete as this happens. If a player does not struggle, The Entity will take them and they cannot be saved.
If a player has less than half of their health remaining when they are placed on a hook, they will be immediately taken by The Entity and cannot be saved.