Puppetmasta Games
An Altered State
A psychological horror visual novel where your choices shape the mind of a teenager with schizophrenia as he investigates a murder at summer camp.
- Released
- 20 March 2026
- Developer
- Puppetmasta Games
- Publisher
- Puppetmasta Games
- Engine
- renpy
- Platforms
- PC (Microsoft Windows) · Mac
- Genres
- Indie · Visual Novel
- 1
- DLC packs
An Altered State
Quick answers
An Altered State
The story
A psychological horror visual novel about fear, isolation—and the unraveling mind of a teenage boy. Fourteen-year-old Liam is spending the summer at Camp Redwood, a secluded retreat meant to help him heal. Diagnosed with schizophrenia, Liam is no stranger to hallucinations—but the masked killer stalking the camp feels different. More real. More violent. When one of the campers is found murdered, Liam becomes the only person who might know what’s really happening. But can he trust what he sees? Can you? An Altered State is a branching visual novel where your choices shape not just the story—but Liam’s sanity. As you guide him through paranoia, grief, and fear, your decisions earn Sanity Points that influence his perception of events, his relationships, and ultimately, his fate.
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Key facts
Platforms
Game modes
- Single player
Themes
- Horror
An Altered State
Trailer
An Altered State
Screenshots
An Altered State
Reviews and languages
1 languages in the interface, 0 of them with full voice acting. English is supported.
An Altered State