Grounded: For the toughest of the hardcore. Supplies are next to non-existent.
Listen Mode is disabled. All enemies do triple damage. The HUD is disabled. On the remastered edition, the controller's light-bar no longer changes color to indicate Joel's health. Enemy AI is extremely sharp; more so than survivor. Multiple mid-combat and mid-stealth checkpoints have been removed. Allies do not grant the player ammunition or
health kits, except
David. The revolver, however, does instantly kill non-infected enemies without armor, something which it does not do in easy. Pickup-able items do not flash to the player either.
O Listen Mode também está desactivado em Survivor.