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 hooked on a Scourge Hook, the following effects apply:

The Generator with the most Progression explodes, instantly losing 9/12/15 percent of its Progression and starting to regress.
Survivors repairing that Generator will scream, but not reveal their location.

After damaging a generator, for the next 30 seconds, the first Survivor that interacts with it will scream, revealing their location for 4 seconds, and becoming afflicted with the Exposed status effect for 60 seconds.

Dragons Grip has a cooldown of 80 seconds.

Exposed Survivors will be downed by basic attacks even if uninjured.

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.

Grants the Undetectable status effect after gaining Bloodlust Tier 1.  The status effect is removed once you lose Bloodlust.

Gain 50percent more Bloodpoints for actions in the Hunter Category.

Performing the Damage Generator Action on a Generator activates Oppression:

Causes up to 3 additional Generators to also start regressing.
Triggers a difficult Skill Check on all Survivors currently repairing one of those Generators.
Oppression has a cool-down of 120/100/80 seconds.