Conditions for obtaining the maximum rating.
1. Difficulty - nightmare.
2. Accucary - more than 90%.
3. Saves Used - 5 or less.
4. Time Taken - less than 2.5h.
5. Syringes used - 2 or less.

I wanted to complete the game without using the bonus weapon, but after several attempts I realized that I was not going to have enough nerves.

Most likely, you will very often die at the hands of suicides because their damage, accuracy and reaction are like a schoolboy who uses third-party programs for foul play. In one case, they can kill you with one shot, in others - with two. I don't recommend using squats against them. The only option that can help you is dodging. Look at this moment (20:45) and you will see what I mean.

Now let's move on to the second difficult moment - the battle with the doctor. There are 2 nuances:
1) Even if you hit the doctor, the shot can be counted as a "miss".
(more on that below).
2) The emergence of suicides, which hell understand when they appear.
Whether they appear randomly or depends on the lives of the boss - no idea.

Now let's think about when to use the syringes. It seems to me that it is better to leave one at least for the doctor, and use the second depending on the situation. This means that you can only use 2 syringes in the entire game. Each of them restores 50% health.

Now about the problem with accuracy. Hits on the doctor are counted, but as misses. Therefore, it is best to equalize accuracy on simple enemies.

If you go to Final 1, it will be easier to complete the game. It seemed to me that the final boss is not difficult. Here's a little tip that might help you: you just need to sit in the upper left corner and jump over the boards (01:32:46).

P.S. Take care of your nerves.

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