Hooked survivors are normally rescued by other survivors. If the survivor escapes or is saved and eventually hooked a second time, they will enter the 'struggle phase', in which the survivor has to resist the Entity trying to stab them by performing skill checks, until they are either saved by an ally or killed by the Entity. If the survivor is saved during the 'struggle phase' and is hooked a third time, they will die instantly with no opportunity of survival.