Empathy in Gaming
Empathy in gaming includes both the real and simulated behaviors that engage with the emotions of players in while playing video games. As early as the 1970s, concerns have been raised about violent content in video games and the example it sets for how to behave in the real world. Simultaneously, player-directed stories and games indicate a potential for greater emotional engagement while gaming. Practical implications of such influences are inconclusive, with multiplayer games often rewarding both the conflicting behaviors: cooperation and griefing behaviors.
- 1 Background
- 2 Themes in Gaming
- 3 Voluntary Mechanics
- 3.1 Violence
- 3.2 Mental Illness
- 3.3 Racism
- 3.4 Guilt
- 4 Cooperative Multiplayer
- 5 Empathy games
- 6 See also
- 7 References
For as long as violence has been present in games, questions have been raised about the influence such content may have on its audience, how accessibility can be limited, and whether extreme content should be censored or simply changed. Some have attributed the rise of violent video games to the U.S. Supreme Court decision Miller v. California which permitted production of obscene material provided that there were warnings and protections in place against us by minors or those who do not wish to participate in these obscenities. This decision precipitated a cultural shift in the United States' media of the early seventies, creating an increase in the production and perceived cultural legitimacy of more mainstream, widely-distributed pornography, like The Devil in Miss Jones (1973) and slasher-type horror genre films like Death Race 2000 (1975).
Death Race Controversy
In 1976, the arcade game Death Race fell under criticism due to its objective of running over pedestrians who emit high-pitched screams upon being hit. Dr. Gerald Dreissen, then-manager of the National Safety Council's research department for Family Safety Magazine, remarked, "I shudder to think of what will be next if this one is not defeated by public opinion." Following the controversy, a Chicago retailer halted distribution of the game.
Creation of the Entertainment Software Rating Board
In 1993, Mortal Kombat was released. The game received negative attention due to its extreme violence including, character beheadings and hearts being ripped out of bodies. Footage was brought to the Washington press to open a dialogue on violence in video games.  Immediately following, Senator Joe Lieberman held a subcommittee on the issue, which lead to the formation of the Entertainment Software Rating Board, whose purpose is to enforce age restrictions for video games based on mature content. These ratings are rated based on a multitude of things in games including violence, alcohol use, suggestive dialogue, etc. The Entertainment Software Rating Board can rate games between five different rating including E for everyone, E or everyone 10 or older, teen, mature, and finally adult.
Doom Controversy Following Columbine Massacre
Shortly following the Columbine High School massacre in 1999, it was discovered that shooter Eric Harris was an avid player of the first-person shooter Doom, a game known for excessive blood and violence. Though rumors arose of Harris creating custom maps to imitate sections of the school, these were later dismissed.  This, however, did not mitigate concerns about the influence of simulated violence.
Themes in Gaming
Spec Ops: The Line
Spec Ops: The Line is a third-person shooter that narrates a rescue mission gone awry. In it, the protagonist Walker confronts the defected 33rd Brigade and spends a majority of the time fighting other American soldiers. At the same time, the player character is also forced into confrontations with angry civilians who don't distinguish the player's team from the brigade. Moral issues arise as Walker reluctantly kills the same people he was sent to rescue. At one of the plot's turning points, Walker orders the mortar shell of white phosphorus to be fired, intending to defeat the 33rd Brigade. Afterward, Walker and his team walk through the area affected by the blast zone only to discover they had inadvertently fired on civilians.
Call of Duty: Modern Warfare 2
Modern Warfare 2 received media attention when footage of the mission No Russian was leaked depicting CIA operatives opening fire on civilians. In-game, the player's objective is to carry out a terrorist attack in order to gain the trust of a Russian terrorist organization. Following the game's release, conflicting opinions arose, with objections of the mission's disturbing imagery, criticism of the mission as shock value, and praise of the morally weighted choice of whether or not the player decides to participate in the massacre.
Richard Pearsey, co-writer of Spec Ops: The Line, writes about the context of No Russian:
- People are not going to get mad at you ... if what you do is consistent with the game world. If what happens ... if the shocking moment is adequately prepared ... for you to understand that this type of game that you bought into, it's going to get progressively worse and we're going to talk about whether or not your actions are appropriate or not... I think it has to be consistent... I don't want to be critical of another game but the [airport] scene in Modern Warfare ... people were pissed off about that. It took you out of the game and jarred you, because it doesn't fit that game world. And not only does it not fit that game world, you don't get to react like the characters you were playing would... You need to allow them to feel like they have some moral agency in a situation like that.
Released in 2016, Mafia III is an action-adventure game that frames its story in the American South following the Vietnam War. Following the main character's criminal exploits, players are able to engage their environment as an African American war hero. The game has received criticism for its portrayals and depictions of its diverse characters. Set in the fictional city of New Bordeaux, a reinterpretation of New Orleans in 1968, the game seeks to accurately reflect the racial tension prevalent at the time. Characters utilize offensive and racially-charged language when speaking with each other. Developed by Hangar 13, the game acknowledges its offensive nature with a short message directed at the player upon opening the game. The message goes on to condemn that racism and reassure players that the developers at Hangar 13 find those beliefs "abhorrent," but it also says that they were necessary to include in the game 
Mafia 3: Initial in game message to the players:
- Mafia 3 takes place in a fictionalised version of the American South in 1968. We sought to create an authentic and immersive experience that captures this very turbulent time and place, including depictions of racism. We find the racist beliefs, language, and behaviors of some characters in the game abhorrent, but believe it is vital to include these depictions in order to tell Lincoln Clay's story. Most importantly, we felt that to not include this very real and shameful part of our past would have been offensive to the millions who faced - and still face - bigotry, discrimination, prejudice, and racism in all its forms.
The side-scrolling shooter Iji utilizes the player's kill count as a mechanic for directing the story. Following an alien invasion, the protagonist is confronted by an alien species under strict orders to kill on sight. Depending on whether or not the player chooses to kill the aliens, the player character may form alliances with factions of the invading army or be feared as a genocidal killer.
Main article: Undertale
The RPG Undertale has a central theme of morality and puts the player in a position of power over benevolent characters. The protagonist's relationship with those around them varies depending on how they interact in random encounters. Battle sequences present the player with an Act button, giving them non-violent options for diffusing a fight.  This allows for the player to go down three different paths titled Genocide, Pacifist and Neutral. This leads to an interesting study into the empathy of the player while they play it, with each decision aiming you towards a different path.
Star Wars: Knights of the Old Republic
Released in 2008, Star Wars: KotOR is a massive-multiplayer online role-playing game set in the world created by George Lucas. The player chooses between different classes, but all are gifted with the Force (telepathic powers). Aligning with the popular movie series, a player chooses how to wield the Force. Throughout the game, the player conducts missions along various quests, with one overarching story. However, unlike most games, depending on how the player reacts to the world around them, there are four alternative endings. Naturally, there is a light side and a dark side. Dark side points are earned through negative acts (killing, lying, deceiving) and light side points through positive acts (saving lives, helping, loyalty). The dark side meter tracks a user on his or her path towards evil. In a way, it tracks and encourages players to act in negative ways.
Shin Megami Tensei
A well known JRPG (japanese role playing game) series first released in October 1992. Shin Megami Tensei is a well known series for it's morality, usually involving main storyline decisions. These decisions are usually in the form of dialogue decisions, in which, the player gets points aimed towards three paths named Law, Chaos and Neutral. This series is known use of religious themes in most of the series story lines. Following the choices made throughout the game by the player, the player is shown the path chosen by their choices, usually aligning the player with an NPC(Non-Player Character) already in the game.
Outlast is a horror game set in an asylum. The player assumes the role of an journalist investigating a psychiatric hospital after allegations of patients being victim to human experimentation. In-game enemies are primarily hospital patients, and while the player is not given the option of harming them, they are universally portrayed as unpredictable and violent, with the player having little option other than to run from them on sight.
In response to the game's content, player Albert C. Thrower voiced his concerns: "Again, I'm fine with a horror game where the antagonists are asylum patients. Just like I'm fine with a game where the antagonists are all men, or women, or white folks or black folks or Québécois or whatever. Within the context of a story that sort of thing can make sense and be compelling. But outside of that context, to make statements that suppose we should be scared of mentally ill folks perpetuates unfounded and harmful stigmas." 
Neverending Nightmares is a horror game developed by Infinitap games. Its director, Matt Gilgenbach, based much of the game's mood and imagery on his own experience with OCD and depression. When interviewed, he mentioned "I suffered very badly from 2001-2003, and everything felt completely bleak and hopeless... It was so hard to just walk around and do the everyday tasks like get out of bed and go to classes. I am trying to create that feeling in Neverending Nightmares."
Alice: Madness Returns
Alice: Madness Returns is a psychological horror game developed by Spicy Horse. The game can be thought of as an adult reimagining of the classic novel Alice's Adventures in Wonderland by Lewis Carroll. In the game, Alice Liddle comes to live in an orphanage after a stint in a mental asylum after the tragic deaths of her family. The orphanage is inhabited by other mentally conflicted children as well as devious Dr. Angus Bumbly who exploits the children. In this game, the whimsical and fantastic adventures that Alice went on in the original novel are actually hallucinations that she experiences while wandering the streets. The game is distinctively not kid-friendly, with Alice's notable blue pinafore dress being covered in blood as she battles the creatures in her nightmares. The ending of the game makes clear its whole point: that Alice has the power to manage her mental illness with the support of the friends she has made throughout her journey.
Ethnic Cleansing & White Law
Ethnic Cleansing and White Law are games developed by a company developed by the neo-Nazi group National Alliance under the development studio/company Resistance Records. This company focuses on creating and licencing products for neo-Nazis. In these games you are able to play as either a neo-Nazi, Skinhead, or Klansman and kill minority different groups.
Final Fantasy X
Games may frequently cause players to make unethical choices, either as a requirement to progress in the game or through deception.
The role-playing game Half-Minute Hero contains a quest in which the hero encounters a girl who is eventually revealed to be a monster in disguise sent as a distraction. She confesses that she will soon revert to her original form, then apologizes for slowing down the hero, asking if he will continue to think of her as a friend anyway. If the player responds with "Yes," but then kills Sasha, they receive a "Liar" achievement upon completion of the quest. This may happen accidentally, as the player is given a piece of equipment that forces them to attack all units in front of them in an earlier quest, with the stat bonuses granted by the item encouraging the player to keep it equipped.
Ashley Davis, editor for Destructoid, reflects on the impact of Half-Minute Hero's penultimate quest:
- Suffice to say, I wasn't happy at all with how things turned out... When I finally did it, it was a pretty hollow victory. I still had that "Liar" achievement to remind me of the horrible thing I had originally done... This small moment from this small game caught me entirely by surprise. It left me feeling completely horrible, as a bad deed ought to. But it would have never happened had I been clear on what (and what not) to do in this brand new situation. The game had inadvertently tricked me into breaking my promise by making me too comfortable with the way things work within it and giving me a pair of cursed boots that ended up cursing me.
The puzzle game Portal contains a long level in which the player is given a box with hearts on it called a weighted companion cube. Throughout the course of the level, the player has to carry the companion cube around in order to bypass many obstacles that would otherwise be impassible. As the level progresses, the cube becomes more of a partner who is helping you through the level rather than a simple box. At the end of the level, the last task is to drop the cube into an incinerator in order to open the final door and complete the level. The agency on behalf of the player in deciding the fate of the companion cube leads to a sense of empathy for and guilt for an in animate object due to the relationship built throughout the level.
A number of games have been created with the specific purpose of evoking empathy from their audience. For instance, Coming Out Simulator 2014 is an interactive narrative in which the player is made to argue with the protagonist's homophobic parents.  Its creator, Nicky Case, spoke about his success in expanding the perspective of its players, stating "The weirdest compliment I ever got for Coming Out Simulator 2014 was 'Even though I don't like gays, I really liked your game!' And I was like, uh, thanks? Because that was the best-case scenario, to get someone who's opposed to homosexuality to, for a few brief moments, see it from [the other] side."
Released in 2010 on Newgrounds.com, One Chance is an indie browser game. The player begins as a scientist researching a cure for cancer. Interestingly, there is no possible way to restart the game after it has begun. The player finds a cure for cancer, only to end up poisoning the world. The player has six days to find a cure. The player has choices throughout the game, like whether to spend more time with family or more time at work. The game evokes true empathetic feelings for the character by connecting the player choices to outcomes in the game. The player watches as his family grow ill and must choose what to do about it.
Indie game blog Lupo wrote, "One Chance is a short but quite strong experience which will put into perspective your priorities in life, for if the end of days were to come, would we keep fighting though the inevitable seems sure or spend the last precious moments with those we love?"
WhatGamesAre noted, "At several points, the game then surprises you. You think you have it figured out, and then something changes and it sneaks past your defenses. You might feel appalled or just freaked out that this little Flash game is somehow getting to you, and you may well feel conscientious and even guilty about the situation that the game places you in." It added that "The biggest flaw with One Chance is that it is only good for one play through...The other game-side flaw is that there is no sense of a solution."
Destructoid commented, "There's a problem with branching paths and moral decisions in video games: even if they are meaningful (few are), players can usually bypass the system by using multiple save files or other means to go in for another attempt and a different outcome", One Chance does a good job preventing this type of "cheating"
Certain developers are wary of the terminology 'empathy game' because of it's lack of accountability for mainstream developers to consider social issues when creating AAA titles. They believe it may encourage developers to put that burden on smaller developers to create a genre of games instead of incorporating the practice of empathy throughout the entire industry. According to this view, all games are supposed to invoke some semblance of empathy from the user, so it seems redundant to create an entire genre based from this idea. All games should instead strive to 'give meaningful contexts for players to empathize with' and should 'support a more diverse experience of people than in mainstream design'.
(For editor's reference, assume date of access for all references is February 19, 2017. Use archive.org to substitute modified pages where appropriate.)