If you have a microphone activated, the monsters in the game can hear you cough and scream in real life just like in the movies.
By activating your microphone, this optional feature lets the game's deadly creatures detect every sound you make in real life, bringing the horror right into your room.
Past examples I can think of include Splinter Cell: Chaos Theory-which forced co-op players to whisper in-game to avoid enemies hearing them.
I love when games use microphones like this and it feels like a perfect fit for this franchise.
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