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Back 4 Blood Review

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Posted: 6 months ago, last updated 5 days ago.

Author: @GeekDadGamer and Jo Robertson.


Back 4 Blood is a multiplayer shooting game where a team of four players work together to survive zombie-infested areas.

The game is the spiritual successor to Left 4 Dead, a highly popular zombie survival team game from 2008. It is developed by the creators of that game and features the same style of cooperative teamwork that made the original so popular.

In teams of four, you play through missions fighting off infected—living humans. Your goal isn't to beat the enemies, but to reach the next safe area alive. The game tracks the players' location and scenario so it can add or remove items and enemies to make survival tricky.

You can play against enemies in the campaign, or against other teams in competitive matches. Yes, the Back 4 Blood campaign can be played solo with 3 AI teammates, and includes online drop-in and drop-out cooperative play with up to 3 friends.

Although it looks like a simple shooting game, the focus is much more on cooperation and teamwork. To aid this aspect of play you can see coloured outlines of teammates through walls, and resuscitate downed comrades.

New to this game is a card system. You choose a deck of cards at the start of each level. As you play them each card adjusts various elements of gameplay, such as modifying the player's health, damage, and stamina. The game can play Corruption cards to hinder your progress by spawning extra enemies, activating a fog effect, and increase the size of the horde.

DetailsGame Details

Content Rating: PEGI 18

Release Date: 12/10/2021

Platforms: PC, PS4, PS5, Xbox One and Xbox Series X|S

Genres: Action, Shooting and Simulation

Accessibility: 31 features

Developer: Turtle Rock (@TurtleRock)


Duration: It takes between 5 minutes and 15 minutes to play a round of this game.
Players: This is a single player game. You can play with up to 8 players online.


Additional in-game purchases are offered for items that enhance the experience.  

You need to purchase a PlayStation Plus subscription to play online with PlayStation 4 or PlayStation 5.
You need to purchase a Xbox Live Gold subscription to play online with Xbox One or Xbox Series X|S.

Age RatingsAge Ratings

Content Rating

Rated PEGI 18. The developers state, "This Game may contain content not appropriate for all ages, or may not be appropriate for viewing at work: Frequent Violence or Gore, General Mature Content"
Users Interact: The game enables players to interact and communicate with each other, so may expose players to language usually associated with older rated games.

Account Rating

You need be 18-years-old to to subscribe to Xbox Live Gold for online play, but can then configure family accounts for younger players to play online with Xbox One or Xbox Series X|S.
You need be 18-years-old to subscribe to PlayStation Plus for online play, but can create sub-accounts for younger players of 7-years or older to play online with PlayStation 4 or PlayStation 5.


The game onboarding asked you (via voice) whether you want to turn on Menu narration and Text-To-Speech. You can choose a male or female voice and Narration covers Menus, Weapon Stats and Card Names.

For subtitles, you can specify how much is captioned, just the Dialogue, additional Ambience or Full. Different characters are indicated with colours that can be adjusted for colourblindness.

You can remap the keyboard (except the Pause menu that is locked to Escape) and pick mapping for the controller. You can switch between Toggles or Holds for Aim, Run, Crouch, Revive and accessing the Communication Wheel. There is an auto walk option. On the controller, the game has Aim Assist and Target Snap options to aid aiming. You can use mouse buttons extensively including extra buttons, mouse wheel up and down.

You can adjust brightness and contrast and turn on an outline enemies option. You can adjust the width and colour of this outline.

Thanks to Antonia I. Martinez who tweeted many of these details. More information is available in the official FAQ.
Our Back 4 Blood Accessibility Report documents 31 accessibility features:

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Games Like Back 4 Blood

Our experts have hand-picked the following similar games for you. These offer a similar way to play to Back 4 Blood or are games with a similar theme or topic. These are good alternative games to Back 4 Blood, or are a younger rated alternative for players not ready for PEGI 18 or ESRB MATURE 17+ games.

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Taming Gaming Book Written by parents for parents, the database complements the in-depth discussion about video game addiction, violence, spending and online safety in the Taming Gaming book. We are an editorially independent, free resource without adverts that is supported by partnerships.

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