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This is the final boss fight in the expansion pack for Painkiller i.e. Painkiller - Battle out of Hell. I have played it at Nightmare difficulty. And, I dedicate this video to People Can Fly (developers of the game) for being one of the most creative developers in the gaming world. Enjoy!!!!
PS: To unlock Tarot card in this level, you have to beat Alastor in no more than 4 min. I think you can achieve it if you use other cards. But, I don't give a damn about tarot cards. So, you may find this fight longer than it is necessary.