
Game Overview
Blood is more than a visual flourish in this ferocious movement shooter; it is the ammunition, medicine, and battlefield terrain that determines whether you survive another encounter. Set inside MOTHER, a colossal self-replicating structure that has all but consumed the universe, ALTEREDBLOOD+ casts you as a purpose-built Reaper hunting parasitic invaders in her depths. Its mood is aggressively alien and apocalyptic, pairing grotesque organic architecture with breakneck arena combat. The result feels like a collision between classic PC shooters and a splatter-driven territory system, where every kill physically changes the room around you.
Fights revolve around deliberately spraying enemies’ blood across walls, floors, and nearby surfaces, then using that spill to sustain your momentum. Sliding, dashing, and stomping through blood restores health and ammunition, while standing in it alters both your body and your current weapon with more dangerous properties. Positioning matters as much as aim: a poorly placed kill can leave precious resources out of reach, while a well-directed blast creates a route to escape, heal, or press an attack. Movement is equally central, with bunny-hopping, air-strafing, surfing, trimping, rocket jumps, and selectable classic or modern air-control settings giving skilled players plenty of speed to exploit.
Story missions steadily introduce weapons, foes, and the strange rules governing MOTHER, shifting between tight, high-pressure clashes and broader combat spaces designed for aerial movement. Gravekeeper mode then turns those tools toward survival runs against escalating waves, with weapons unlocked through the campaign carrying over into the challenge. Leaderboards add a competitive reason to refine routes, scores, and survival times, even though the heart of the experience is mastering its single-player combat sandbox. Players who enjoy Doom’s aggression, Quake’s movement depth, or the tactical surface control of Splatoon should find an inventive, demanding shooter that rewards experimentation far more than standing still.
Screenshots
Installation
- Select the Download button at the top of this page to open UploadHaven.
- On UploadHaven, wait for any countdown, then select Free Download. Optional: UploadHaven Pro for faster downloads.
- When complete, extract the archive to a ALTEREDBLOOD+ [AB+] folder using 7-Zip.
- Open the extracted folder and start the game normally.
- For errors, check Setup Guide & Troubleshooting below. Keep your security software enabled.
System Requirements
- OS: Windows 10
- Processor: Intel Core i5-6500 or equivalent
- Memory: 8 GB RAM
- Graphics: NVIDIA GTX 1050 or equivalent
- DirectX: Version 11
- Storage: 3 GB available space
- Additional Notes: These minimum specifications should run the game at a stable 60-120 FPS. Linux and macOS are not officially supported.
Setup Guide & Troubleshooting
How do I fix missing DLL errors for ALTEREDBLOOD+ [AB+] (v0.3.0.2)?
After extracting ALTEREDBLOOD+ [AB+] (v0.3.0.2), navigate to the _Redist or _CommonRedist folder inside the game directory and install DirectX, Vcredist, and any other dependencies included.
What should I do if the downloaded file is corrupted?
The full archive is 1.27 GB — make sure your download completed fully before extracting. Use 7-Zip to extract the files. If you still see a "file corrupted" error, re-download and try again.
Do I need to run the game as administrator?
Usually, no. Start the game normally from the extracted folder. If you see a permissions or save error, check that the folder is writable and follow the game's documented fix. Only grant administrator access when a trusted game's specific setup requires it.
How do I update my GPU drivers for this game?
The game won't launch — what should I try?
Check that extraction completed and your PC meets the system requirements, including Version 11. Note any error message before choosing a fix. If it identifies a missing runtime, install the required DirectX components or Microsoft Visual C++ Redistributable from Microsoft.
My antivirus is blocking the game — is it safe?
A warning needs to be investigated; the download source alone cannot confirm that a file is safe. Keep your security software enabled and review the detection details. Do not run or restore a flagged file unless you have verified that it is a false positive. If you are unsure, leave it quarantined.