Kain will fight using his bare hands or by picking up daggers, swords, axes, and other weapons. Many of these abilities can be used to perform stealth kills which will instantly defeat a foe. Some gifts include: the ability to blend into mist, fire projectiles, use projectile telekinesis or make a great horizontal leap.

Kain also learns new dark gifts throughout the game by defeating boss creatures.

As Kain consumes blood, his meter is filled up. Blood is found by consuming any living creature nearby, often requiring defeating an enemy through combat first. Kain's life energy steadily depletes and must be replenished constantly by drinking blood. The player controls from behind Kain's shoulder and may move him in different directions, attack, jump, use dark gifts, and grab on to ledges. The Legacy of Kain: Blood Omen 2 is a third person action game with adventure elements, more similar in perspective to Soul Reaver than the first Blood Omen game. Kain swears vengeance on the opponent who defeated him and seeks to reclaim his place as ruler of the vampires. Strange glyph magic is used to power machines and fuel industry and at the same time is deadly to vampires and used as wards throughout the city. The city of Meridian is ruled under martial law by the Serafan Order and demands great things of it's citizens. Having lost his army, the vampires have been hunted down by the Serafan and only a few remain. Unconscious for 200 years, Kain awakes under the care of the vampire Umah to a world he barely recognizes. Kain's sword, the Soul Reaver, is claimed by his enemy. Kain engages the Serafan lord in single combat, is struck down and defeated. However, upon reaching the gates of the city, the army is challenged by the Serafan Order, an organized force of vampire hunters and its leader, the magical Serafan lord. Fighting across Nosgoth, goal is to make his way to the great city of Meridian and take control of this stronghold. Following the events of Legacy of Kain: Blood Omen, over 200 years the vampire Kain has assembled an army of vampires to take over the world of the humans.

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