You become obsessed with one Survivor.  Your Obsession gains a 33percent action speed bonus to unhooking and healing other Survivors.  Each time you hook a Survivor other than the Obsession, if the Obsession is alive, gain a token.  If the Obsession is alive, all Survivors who are not the Obsession get 3percent penalty to repair, healing and sabotage speeds for each token.

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.

Any Survivor repairing a generator suffers from the Blindness and Exhausted status effect.  If the Survivor is already Exhausted, their status effects timer will be paused.

Both status effects linger for 5 seconds after stopping repairs.

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 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.

When hooking a Survivor, all other injured Survivors suffer from the Hemorrhage and Exhaustion status effect for 45 seconds.

Blood Echo has a cooldown of 60 seconds.

Exhausted prevents survivors from activating exhausting perks.
Hemorrhage regressing healing progress when not healing, and increases blood trails left by injured survivors.