At the start of the Trial, 4 random Hooks are changed into Scourge Hooks:

The Auras of Scourge Hooks are revealed to you in white.
Each time a Survivor is unhooked from a Scourge Hook, the following effects apply:

The Auras of all other Survivors are revealed for 5/6/7 seconds.

Wounds inflicted by Basic Attacks cause Survivors to suffer from the Hemorrhage and Mangled Status Effects:

Increases the Bleeding frequency by 50/75/100 percent.
Increases the Regression rate at which partial Healing Progression is lost through Haemorrhage by 15/20/25 percent.
Both Status Effects are removed once the Survivor is fully healed.

When a Survivor heals another  Survivor for one health state at least 32 meters away from the Killer, the Survivor performing the healing action will scream, revealing their location and activating Deathbound for the next 60 seconds.  During that time, the Survivor will suffer from the Oblivious status effect when further than 8 meters away from the healed Survivor.

Oblivious prevents the Survivors from hearing or being affected by the Killers Terror Radious.

Once the Exit Gates are powered, Terminus activates:

All Survivors, who are either injured, dying, or hooked, suffer from the Broken Status Effect until the Exit Gates are opened.
This effect lingers for an additional 20/25/30 seconds after the Exit Gates are open.