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.

3 generators located furthest from you are blocked by The Entity for 120 seconds at the start of the trial.  Survivors cannot repair these generators for the duration.  Affected generators are highlighted by a white aura.

You see the Auras of cleansed Totems.
You can perform a ritual on a cleansed Totem to resurrect it as a Rekindled Totem.
For each Rekindled Totem active at the same time, Hex: Pentimento gains an additional effect:

1 Totem: Decreases all Survivors Repair speed by 20/25/30 percent.
2 Totems: Decreases all Survivors Healing speed by 20/25/30 percent.
3 Totems: Decreases all Survivors Recovery speed from being downed by 20/25/30 percent.
4 Totems: Decreases all Survivors Exit Gate Opening speed by 20/25/30 percent.
5 Totems: All Totems are permanently blocked by The Entity.
When a Rekindled Totem is cleansed, its remains are consumed by The Entity and it cannot be rekindled.

At the start of the Trial, 4 random Hooks, as well as the Basement 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 effect applies whenever you are farther than 24 metres from the hooked Survivor:
Accelerates the Sacrifice Process by 10/15/20 percent.

Gain a notification when a Survivor begins sabotaging a hook.

While carrying a Survivor, see the aura of any survivor within 6 meters of a hook.

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.