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This massive creature that was sealed away by an unknown civilization; apparently the Hive Mind is the leader and the source of the Necromorphs.
Like most of its underlings the creatures skin is possibly composed of dead tissues of the previous civilization, in a nutshell it is a towering worm like monster with tentacles and a flexible rib cage that lacks a sternum and inside it a line of organs and a mouth which is vital to the creature.
It mostly uses its elephantine body to crush its foes and its forbidable tentacles to ensnare its victims, the Hive Minds true ability is to control other Necromorphs via telepathy even though it may act like a primitive animal, It may possess superior intelligence than first thought, although the motives behind the hive are not clear as of yet, it may be entailed within a future sequel.