The gameplay was adjusted based on feedback from players and the team's experience, in addition to making it faster-paced and having more overt action elements. The storyline, alongside building upon and expanding the series lore, focused on Isaac's deteriorating mental state, with classic nursery rhymes being used as motifs playing into the narrative and Isaac's visions. Pre-production began in 2008, immediately following the release of the original Dead Space.

The game included a competitive multiplayer, with the Sprawl's security forces fighting teams of Necromorphs. Gameplay features Isaac exploring a series of levels, solving puzzles to progress, and finding resources while fighting off Necromorphs. The second mainline entry in the Dead Space series, set on the Titan-based Sprawl space station, the story follows series protagonist Isaac Clarke as he fights against both an outbreak of the monstrous Necromorphs and debilitating mental illness induced by the alien Markers. It was released for PlayStation 3, Windows, and Xbox 360 in January. Dead Space 2 is a 2011 survival horror game developed by Visceral Games and published by Electronic Arts.

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