Max payne 3 hardest difficulty

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If you die on the same part multiple times, the game will give you pain pills as a helping hand!

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The game is very forgiving with it's mid chapter checkpoints (most of the time) plus, you'll learn where the enemies like to go and there tactics. The loss of 'Last man standing' was actually a good thing in my mind, as it meant I could hold on to my pain pills instead of losing them because a goon caught me unaware. I started this difficulty after finishing the game on hard and even after a year of not playing I found it strangely easy compared with the lower difficulty settings.