Nicalis has confirmed the final release date for The Binding of Isaac: Rebirth.

The hotly anticipated and mildly disturbing game is arriving on PlayStation 4, PS Vita, and PC on November 4th. Featured above, you can view the game’s release date trailer but I post this with a warning – HOLY JESUS is the trailer weird and NSFW.

The Binding of Isaac: Rebirth is an enhanced port of the original game, although it comes with a breadth of new content like the “Wrath of the Lamb” add on, three new playable characters, a new final chapter, 16 new bosses, over 150 new items, and more.