They were once humans who were forcibly subjected to Viktor's demented experiments to extract their O Zhuvindo (life force). Viktor would later transform their bodies through the use of extensive surgery and the dark arts of alchemy, turning them into mindless meat-puppets that now roam his mansion grounds. Though the creatures still maintain some of their human senses, such as memories, feelings, and any sorts of humanity shortly after transformation, they have no free will to control their own bodies and their mind would eventually deteriorate in time, leaving only a desire to feed on the living.
These creatures are shown to be different from traditional undead in other ways - while Zombies are usually stopped dead with a shot to the head or the removal of it most if not all of the Altered in Rise of Nightmares can survive, and continue actively to pursue Josh, after having their heads decapitated. The only to kill them is to completely dismember their bodies until they drop dead. The Altered displayed little intelligence, though they are capable of complying to their master's bidding.
The Altered are rotting, undead corpses bearing drastically visible scars as a result of Viktor's inhuman tortures. Most of the creatures seem to wear ragged clothing that presumably belonged to them when they were humans, however some of them even wore many unique outfits such as, a nurse's and an orderly's uniform, a maid's dress, an ancient cultist overall, a formal dress, a guard's uniform, a chef's outfit, and even a gimp suit.
All of them are all fitted with odd-mechanical body parts which they use primarily as weapons, however some of them also have different attack methods, such as spitting acidic vomit to obscure the player's vision, blowing themselves up through the use of the strange vat implanted in their abdomen, shocking the player using the electricity surging through their body, or create powerful rantings.
List of AlteredEdit
|Male Altered #1||A blonde long-haired male Altered. This variant is the first altered encountered by Josh.|
|Male Altered #2||A blonde short-haired male Altered.|
|Male Altered #3||A bio-mechanical male Altered.|
|Male Altered #5||A bald male Altered that wears a black suit and tie.|
|Male Altered #6||A bio-mechanical male Altered that is equipped with a stun rod.|
|Male Altered #7||A bald male Altered with a hatchet impaled on it's body.|
|Female Altered #1||A blonde long-haired female Altered that wears a black dress and hat.|
|Female Altered #2||A female Altered that wears a black dress and hat.|
|Female Altered #3||A short-haired female Altered with a pair of mechanical arms.|
|Vomiting Altered (male)||A male Altered that vomits grotesque green liquid.|
|Vomiting Altered (female)||A female Altered that vomits grotesque green liquid.|
|Altered Nurse||An Altered dressed as a nurse.|
|Altered Surgeon||An Altered dressed as a surgeon.|
|Altered Maid||An Altered dressed as a maid.|
|Altered Chef||An Altered dressed as a chef.|
|Altered Dominatrix||An Altered dressed in a dominatrix outfit.|
|Masked Altered||An Altered wearing a bag on it's head.|
|Banshee||A unique Altered dressed in a formal dress. They are capable of emitting a painful wail that can be blocked by covering the ears.|
|Time bomb Altered||An Altered implanted with a time bomb which is triggered by taking damage. One of this variant carries Marchosias' heart.|
|Altered Cultist||A scantily-clad Altered covered with ritualistic tattoos and wears a strange mask.|
|Altered Guard #1||A bio mechanical altered wearing a guard's hat.|