This is an action adventure game based on characters and events from the TV show Prison Break. Players assume the role of agent Tom Paxton, a new inmate who seeks to find out why another prisoner, Michael Scofield, became a bank robber. Gameplay involves a combination of social interaction, puzzle solving, stealth action (i.e., getting around the facilities unnoticed to complete objectives), fighting, and mini-games (e.g., weightlifting, hitting the punching bag). Most of the violence involves one-on-one fistfights with other inmates: Players can participate in underground fights for money, accept missions to fight rival prisoners, and beat up inmates to settle scores or gain reputation. The hand-to-hand combat is depicted realistically—punching/kicking sounds, grunts/groans, "blurry-screen" effects, kicking when an enemy is down. A handful of cutscenes depict inmates getting hit with clubs, knives, chains, and electric cables. The game contains some sexual themes: Some prisoners' profiles include convictions for rape and child molestation; dialogue includes lines such as "easy like a truck stop ho*ker" and "Is that you're a*s on my pillow"; and one scene depicts a male guard and a female secretary engaging in sexual innuendo, perhaps favors (e.g., "my uniform pants are getting kinda tight."). As this is prison, inmates occasionally utter the expletives "b*tch," "a*s," and "bastard"; inmates also use terms like "white boy," "milk chicken," "snowflake," "nazi," and "Hitler Youth" to describe their differences.