The setup is grim: you drive across an island cursed by the rotting corpses of gods, plotting river crossings and picking paths through bogs and rocky slopes to push deeper into corrupted land. Deliveries matter, but so does what you carry, with the story promising occult knowledge and remnants of humanity's "original sin" still festering on the island.

Beyond the driving, the game mixes survival logistics such as route planning and fuel management with on-foot exploration away from your truck, vehicle upgrades for deeper incursions, and tools to identify, recover and document strange artifacts. The world is described as hand-crafted, stretching from the coastline to the island's heart.