The Scratch Marks left by Survivors spawn slightly/moderately/considerably closer together.

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.

The Auras of Survivors within 2/3/4 meters of any Dull Totem are revealed to you.

When another Perks Hex Totem is cleansed or blessed, its Hex is transferred to the Hex: Undying Totem, including any accumulated Tokens, disabling Hex: Undying instead.
The Hex effects persist until its Hex Totem is cleansed.

While carrying a Survivor you benefit from the following effects:

Decreases Wiggle effects, which cause you to strafe sideways, by 75 percent.
Increases Wiggle duration by 4/8/12 percent.

The last 2/3/4 Survivors hit with either your Basic Attack or Special Attack suffer from the Blindness Status Effect.

The Hex effects persist until its Hex Totem is cleansed.

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.