Its most distinct feature is its elongated head, which ends in a cruel blade. Its mouth runs down its entire head and splits vertically, much like several other monsters in previous entries in the series. It has a set of dull teeth that run down the length of its head, and when its mouth opens, its tongue flails about. However, it usually just uses its bladed snout and wicked claws to attack. The Schism's right arm and right hand is elongated, double jointed, and facing backwards, whereas its left hand faces forward. It does not have any discernable genitals, instead having something of a metal plate affixed to its groin.