This title update adds Grounded and Permadeath as modes.

It adds the following new graphics, audio, and gameplay modifiers:
- Mirror World
- Mirror on Death
- Slow Motion
- Bullet Speed mode
- Infinite Ammo
- Infinite Crafting
- Infinite Melee Durability
- Infinite Listen mode Range
- One Shot
- Touch of Death
- 8-bit Audio
- 4-bit Audio
- Helium Audio
- Xenon Audio

It also adds the following new options and improvements:
- Saves now display playtime up to the second
- Film Grain Adjustment option
- Disable Listen Mode option
- Motion Sensor Function Aiming option
- Arc Throw HUD Display option
- Aiming Acceleration Scale option
- Aiming Ramp Power Scale option
- Accessibility improvements to Ground Zero encounter, collectible tracking, Enhanced Listen Mode for collectibles, and rope gameplay