The game was released for PlayStation 4, Windows, and Xbox One on 30 October 2020 to mixed reviews. The developer, Supermassive Games, decided to tackle the topic of witch trials for Little Hope's story and explore the reasons why mass paranoia around witchcraft happened in the first place. To guide players in navigating the story, the game features a set of collectable items called 'pictures' that give premonitions of what may happen later in the plot. Quick time events determine whether a protagonist will live through the very end. With these choices, which players make on behalf of the characters, any of the ensemble cast's five playable protagonists can die permanently or survive the night.

Little Hope contains many decision-making scenes that dictate how the plot will progress and how the characters will develop over time. As they explore the deserted town, the characters are pursued by demons whose appearances are reminiscent of the ways in which the townspeople of Little Hope's colonial era died. After their bus crashes by the area, the group finds themselves trapped within Little Hope by an impenetrable fog. Set in the fictional eponymous town, located in Massachusetts, the game follows four college students chaperoned by their professor. Will Poulter stars as the game's leading actor and plays the role of one of the protagonists, named Andrew. The second installment in The Dark Pictures Anthology, Little Hope serves as the sequel to the anthology's season premiere, Man of Medan. The Dark Pictures Anthology: Little Hope is a 2020 interactive drama and survival horror video game with psychological and folk horror elements developed by Supermassive Games and published by Bandai Namco Entertainment.

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