If a Runner gets too close to the Hand, the Hand will quickly move toward runner and kill them. After that, the Hand travels forward slowly, going at the path of the track itself. The Hand becomes mobile around 30 seconds - 1 minute, killing the people who are AFK at the spawn of the track. To prevent the Runners camping at the 'safe-spots' of the track, such as the start of the track or spots where there is no trap, there is The Hand. This happens very commonly and is used by a lot of people. Many runners quickly jump on a trap and quickly jump off to get to the end. Failing to kill the Killer in time will result in the loss for the Runners. Using the weapon, the Runner must kill the Killer with it before the time runs out. When the Runner steps on the teleporter, the player will be teleported to the Killer's area and being given a weapon. In order for the Runners to win, one of the Runners must successfully reach to the end of the track, which has a teleporter. A countdown kicks off the race as Runners are released to run to the end of the track. At the start of a round, one player is randomly selected as the Killer while others will play as Runners.

Deathrun is a round-based game, where each round is played in a different map.