Back 4 Blood update: what’s new in River of Blood?

All the details you need to know about the latest Back 4 Blood update, River of Blood.

The latest major Back 4 Blood update has been out for a few months now, but there are still plenty of opportunities to wade your way through waves of zombies and cultists in the meantime.

The latest update, River of Blood, added a brand-new cleaner as well as a brand new five chapter Act for the main campaign. However, the Back 4 Blood fundamentals remain very much the same.  From Turtle Rock Studios, the folks behind Left 4 Dead, Back 4 Blood is a co-op shooter where teams of four players fight through a gauntlet of zombies in an attempt to survive. 

Playable on Xbox Series X|S, Xbox One, PS4, PS5 and PC, Back 4 Blood also offers players a distinct, ongoing plot. The game follows a group of do-gooders called Cleaners as they attempt to safeguard the remnants of humanity from their base at Fort Hope. Back 4 Blood also has an occult element, pitting you against the “Children of the Worm” a cult who worship the parasite responsible for the apocalypse. Read on to find out more about this interesting take on the genre. 

Back 4 Blood update: cut to the chase

  • What is it? Children of the Worm is the latest Back 4 Blood update
  • When can I play it? Available now
  • What can I play it on? PS5, PS4, Xbox Series X|S, Xbox One, and PC

Back 4 Blood update: release date and platforms

Back 4 Blood characters confront a door that leads to Left 4 Dead

(Image credit: Turtle Rock/Valve)

River of Blood was released on December 6 2022 and is available through the Annual Pass, Deluxe Edition and Ultimate Edition of the game.

Back 4 Blood itself was released on October 12 2021 and is available on PS4, PS5, Xbox One, Xbox Series X|S and PC. Since then, the game has enjoyed several updates, with River of Blood being the third full expansion so far. You can check out the patch notes (opens in new tab) on the Back 4 Blood website (opens in new tab)

Back 4 Blood update: trailers

Latest Trailer

The latest Back 4 Blood trailer shows off the River of Blood storyline. Starting off with a creepy monologue from one of the leaders of the Children of the Worm, after which we hear from Tala, the latest cleaner to be added to the game. As an ex-member of the cult, herself, Tala certainly brings a fresh perspective to the horrors of Back 4 Blood‘s bleak setting. 

We later learn that the cult has kidnapped Tala’s brother, and it’s up to the Cleaners to get him back. We also see a glimpse of “Jeff” a Tallboy that Tala has brought under her control through creative use of electrodes.  The trailer alson teases new cards, weapons and boss battles for players to enjoy. 

More trailers

Trailers for previous updates, as well as new game modes can be found on the official Back 4 Blood YouTube channel (opens in new tab). These include a trailer for the Trial of the Worm (opens in new tab) mode (which was released concurrently with River of Blood for free) as well as a trailer for the previous expansion: Children of the Worm (opens in new tab).  

Back 4 Blood updates: New Campaign

Tala scans the horizon

(Image credit: Turtle Rock Studios)

Arguably the biggest part of this new expansion, River of Blood adds a new six-chapter Act for players to experience. The new Act takes the Cleaners further from the sanctuary of Fort Hope than ever before in search of the Children of the Worm. 

With the help of Tala, a rogue cultist and the latest Cleaner to join the roster,  you’ll be able to take the fight to the cult, and, maybe, rescue Tala’s sister Derek in the process. As the name implies, you’ll be travelling by boat to dangerous new locales. You’ll be confronting some pretty serious cultists, too, so you’d do well to keep your wits about you. 

Back 4 Blood update: New Cleaners

Tala Keyart

(Image credit: Turtle Rock Studios)

Tala is Fort Hope’s newest Cleaner. She’s an ex-member of the Children of the Worm, looking to make amends for her past. She’s keen to win over the people of Fort Hope so that they might help her rescue her brother Derek from the cult’s clutches. 

Before the collapse, Tala wanted to attend Berkeley to pursue her passion for robotics. Though the Collapse ensured that her dream would never become reality, she’s still been able to harness her skills, using her scientific knowledge to control a Tallboy that she affectionately calls “Jeff”. 

Tala’s Team Effect causes a Warped Chest and a Whistle to spawn on any mission you take her on. Warped Chests offer legendary weapons as loot, but also debuff the party with a corruption card, so are best opened sparingly. The Whistle can be used to summon “Jeff”, her Tallboy accomplice. Having a massive zombie work for you for a change can be a great way to even the odds in a tight spot. 

On top of all this, Tala’s attacks also cause bleeding damage. This also applies to her melee attacks, too. 

Back 4 Blood update: new weapons and items

Back 4 Blood: Players fighting a boss

(Image credit: Turtle Rock Studios)

River of Blood has brought with it a handful of new weapons and items. Read on for more info: 

New weapons and items

  • Flamethrower: Produces a cone of flame that can incinerate enemies
  • LAW: A rocket launcher with an impressive damage output
  • Jeff’s Favorite Whistle: A dog whistle that summons Jeff, Tala’s domesticated tallboy

Back 4 Blood update: New enemies

A mutated zombie in Back 4 Blood

(Image credit: Warner Bros. Interactive Entertainment)

River of Blood introduced six new threats in the form of the Armored Soldier and Sentinel Mutation Types which include the Lobber, the Swarmer and the Wailer. 

The Armored Soldier is a common Ridden Variation that acts as a stronger version of the standard Armored Ridden. This enemy type have helmets to protect their weak spots as well as a resistance to Razor Wire. A well-placed shot can relieve it of its helmet. 

The Sentinel Mutation Types are a group of new Ridden who excel at defensive fighting. The Wailer lays sacs of gas on the ground, while the Swarmer produces a horde of larvae that chase down nearby Cleaners. Lastly, the Lobber specializes in throwing incendiary projectiles at its enemies. Dealing with any of these Sentinels will require a level head and effective use of the terrain.  

Back 4 Blood update: New Cards

Back 4 Blood burn cards - Supply Lines

(Image credit: Turtle Rock)

River of Blood has also introduced a bunch of new cards, offering you new ways to customize your playstyle. Here’s a list of the latest additions to the roster: 

  • Cleansing Fire
  • Drone Spotter
  • Empowered Assault
  • Ether Bomb
  • Hazmat Specialist
  • Phosphorous Tipped 
  • Sonic Disruptor
  • Wasteland Chef

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