Left Alive has a full gameplay trailer titled “Find a Way to Survive.” Players are encouraged to rely on their basic instincts to forge their own paths to survival by utilizing stealth mechanics, crafting, traps and more. The dark, gritty setting of Left Alive also poses challenges to players as they weigh the potential outcomes of their interactions with other survivors, which can help or hinder each other's chances for survival.

Left Alive follows three different protagonists, each with their own stories, missions and potential paths to salvation. The game features a variety of action-packed play styles, blending strategic stealth maneuvers with frenetic gun battles and adrenaline-fueled encounters with powerfully armed troops, armored vehicles and towering mechs.