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It is not a secret there is a fourth difficulty level, but for some unfathomable reasons it is not described as the other ones when you cross it.


Here is a description copied verbatim from a developer.

Evil difficulty reduces the amount of pickups in the world, spawns more enemies, makes enemies faster and have 20% more health. It also does a few things like make the shield enemies block chance 100% and parasites spawn 100% of the time, It's much harder.
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etb: It is not a secret there is a fourth difficulty level, but for some unfathomable reasons it is not described as the other ones when you cross it.

Here is a description copied verbatim from a developer.

Evil difficulty reduces the amount of pickups in the world, spawns more enemies, makes enemies faster and have 20% more health. It also does a few things like make the shield enemies block chance 100% and parasites spawn 100% of the time, It's much harder.
I couldn't find any information about this anywhere, even on Steam Discussions or Amid Evil's Fandom wiki. Thanks for sharing the info, mate!
Happy to help