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.

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.

After hooking a Survivor, THWACK! activates:

The next time you break a Breakable Wall or a Pallet, all Survivors within 28/30/32 meters of your location will scream and reveal their Aura for 4 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 hear the sporadic whispers of the Entity whenever at least one Survivor is within 48/40/32 meters of your 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.