Your objective is to shoot the bad guys as accurately as possible. You can aim for the head or the body area. The closer you are to the center of each of these areas the more points you gain. The trick is to make every single shot count.
It's a nightmare. You are trapped in an abandoned mine with an injured comrade at your side against God-knows-what. Make your stand, get out alive. Three words of advice: shoot to kill. These things are not human, they are monsters..