After a wild night with strange noises and people attacking each other with baseball bats, you wake up to your new coworker, Jeanine Kade, knocking on your door. She then escorts you to the Circo Tormentorum, a circus style prison which houses all of your potential patients. Once there you witness a horrifying 'performance' which climaxes in the live executions of the prisoners on stage. Drenched in blood and visibly shaken, you attempt to speak with the Warden and the conversation goes south. Quickly. After pontificating the Warden asks you whether you'd rather lose your liver or your soul. You decide you'd rather lose your liver.