The Entity's realm is an unforgiving and hellish place. Within the realm it is commonplace to be strung up on meat hooks, impaled with harpoons and cut deeper than any surgeon could fix. It may seem like an impossibility for a normal person to survive these occurrences and you would be right; under normal circumstances that is. The Entity feeds on pain and suffering. In its realm, death is not an escape, for once one succumbs to their wounds, they simply awaken back at the campfire to await their next trial. For the short term, we will be focusing on the effects one would endure in a single trial.
Throughout my research involving both scholarly articles and interviews, the concept of adrenaline kept coming back up. Whether it was being taken off of a meat hook that potentially pierced a lung or being sliced with a katana across the back, adrenaline was a heavily reoccurring topic of explanation. Adrenaline (also known as epinephrine) is a hormone your adrenal glands make to help you prepare for stressful or dangerous situations. Adrenaline rush is the name for the quick release of adrenaline into your bloodstream. This gets your body ready for a “fight or flight” response. Both of these come into play in the short term physiological effects that a survivor endures in the Entity's realm.
While in the process of surviving one would be put through large amounts of physical pain and suffering, adrenaline would allow them to push through these injuries and give them a chance of surviving in the end. However, there is no true escape.
In the Entity's realm escape is an illusion. Wether you leave a trial through fleeing or dying, the survivor will find their way back to the campfire. While the Entity may fully repair their bodies at the end of each trial, their memory of the trials still linger in their minds. Overtime a survivor would begin to experience phantom pains from past injuries and for some, this could prove to be more than they could handle.
Injuries that the survivors should expect include pierced lungs, broken ribs, large gashes on various parts of their bodies, crushed ankles and tibias, mangled feet, cut arteries, plenty of blunt force trauma and so much more.