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 Survivor suffers from the Hemorrhage and Mangled Status Effects until healed.
Upon being healed, the Survivor suffers from a 10/13/16 percent Action Speed penalty to Healing and Repairing until they are injured again.

3 seconds after injuring a Survivor by any means, Dissolution activates for 20 seconds.  While Dissolution is active, if a Survivor fast vaults over a pallet inside of your Terror Radius, The Entity will break the pallet at the end of the vault, and Dissolution deactivates.

Whenever a Survivor is put into the Dying State by any means, all other Survivors within your Terror Radius will scream and reveal their current location to you for 4/5/6 seconds.

You become obsessed with one Survivor.
Each time a Generator is completed, the following effects apply:

Reveals your Aura to the Obsession for 5/4/3 seconds.
All Survivors locations are revealed to you for 3 seconds.
Once the Exit Gates are powered, the following effects apply:

You are granted the ability to kill the Obsession by your own hand.
The Obsession suffers from a permanent Exposed Status Effect.
You can only be obsessed with one Survivor at a time.