Slitterhead Nightmare True Ending Speedrun in About 6 and a Half Hours

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I have taken a strong liking to Slitterhead and decided I'd do something ambitious. This is the games hardest difficulty alongside some absurd requirements.

Nightmare True Ending
Hard Combat and I need to make sure I don't kill too many civilians since the True Ending is locked behind 66 Civilian Deaths.

This is one of the longest and hardest speedruns I've ever learned

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