The game was developed and hosted on GameJolt , a popular hub for indie and fan games.

The game is characterized by its meta-narrative and high-intensity horror elements:

The game prominently features "twisted" versions of classic characters, which include grotesque, organic-looking details like rows of sharp teeth and bubbling skin textures.

One of its standout features is the "game-within-a-game" mechanic, where the player is playing a FNaF game that seemingly becomes "alive" or starts affecting the real-world environment of the protagonist.

A related title, Twisted Reality: Origins , serves as a prequel to the story, set in 1989.