Battle out of Hell, which requires the base game, takes place directly after the events of Painkiller. Daniel Garner has just defeated Lucifer and finds out that Alastor has taken over the armies of hell. There are different goals while playing: finishing the level, meeting different challenges, and specific goals such as collecting all secret items. Meeting these challenges gives you black tarot cards with special abilities. Each level also has a batch of new enemies. (mobygames.com)