Sanity slowly regenerates on its own, but can be replenished faster with antipsychotic drugs. Another major resource is sanity, which is spent on investigative powers used to reconstruct crime scenes and identify clues.

However, as Oakmont is an isolated place with dwindling resources and deteriorating social order, bullets have replaced money as the preferred currency expending too many bullets can leave the player unable to barter for desired items. The player also assembles an arsenal of tools and weapons, and at times must use them to kill otherworldly creatures and dispel hallucinations. The player can swim if necessary, but the water is infested and can fatally damage the player's health and sanity. The town of Oakmont is made up of seven districts (Advent, Coverside, Grimhaven Bay, Oldgrove, Reed Heights, Salvation Harbor, and The Shells) which have all been affected by flooding to various degrees, and the player must use a boat to safely traverse the flooded streets to reach drier areas. It features an investigation system in which the outcome of the player's quests will often be defined by how observant the players are when investigating different clues and pieces of evidence. The Sinking City is an open-world detective game with a third-person camera perspective. The Sinking City was released for Microsoft Windows, PlayStation 4 and Xbox One in June 2019, for Nintendo Switch in September 2019, for PlayStation 5 in February 2021 and for Xbox Series X and Series S in April 2021. Reed as he searches for clues to the cause of the terrifying visions plaguing him, and becomes embroiled in the mystery of Oakmont's unrelenting flooding.

Set in the fictional city of Oakmont, Massachusetts during the 1920s, the story follows private investigator and war veteran Charles W. The Sinking City is an action-adventure game developed by Frogwares and inspired by the works of horror fiction author H.

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