Once more, it is up to the protagonist to find a way out of a grotesque world between heaven and hell, trapped between life and death. The development of Painkiller: Resurrection was based on the technology of the Painkiller engine, but with several improvements, including improved shadows, a higher texture resolution, moveable light sources, post processing, motion blur and ambient occlusion were implemented. In addition to these added features, a coop-multiplayer campaign mode is included in the game.