Once the Exit Gates are powered, if there is still a Dull Totem remaining on the Map, Hex: No One Escapes Death activates and lights it:

Increases your Movement speed by 2/3/4 percent.
Survivors suffer from a permanent Exposed Status Effect.
Hex: No One Escapes Death remains inactive if no Dull Totems are available.

Once the Status Effect is revealed to Survivors, Hex: No One Escapes Death reveals the Aura of its Hex Totem to all Survivors within 4 meters and gradually expands that range to 24 meters over the course of 30 seconds.

The Hex effects persist until its Hex Totem is cleansed.

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.

Two trapped Hex Totems will spawn in the Trial Grounds.
When either Hex Totem is cleansed or blessed, all Survivors suffer from the Exposed Status Effect for 40/50/60 seconds.
The second Hex Totem will immediately turn into a Dull Totem.

Any Survivor who blinds you or stuns you using a Pallet becomes the Obsession.
Anytime your Obsession switches to another Survivor by any means, that Survivor then suffers from the Oblivious Status Effect for 40/50/60 seconds and their Aura is revealed to you for 4 seconds.
You can only be obsessed with one Survivor at a time.

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.

Each time you hook a Survivor, Leverage activates and gains 1 Token, up to a maximum of 10 Tokens:

For each Token, the Altruistic and Personal Healing speeds of Survivors are reduced by a stack-able 3/4/5 percent for the next 30 seconds, up to a maximum of 30/40/50 percent.