Like Sanitarium Massacre, Texas Butcher is an inverse of the usual Puppet Combo formula in that the player controls the psychotic maniac preying on defenceles people instead of the other way around. Larry is a hulking lunatic that patrols the outskirts of Texas's country, invading the surrounding ranches and houses and stalking and murdering anyone they come across.
- The game is clearly inspired by The Texas Chainsaw Massacre.
- Larry's Baby costume in the game has been reused in Blood Maniac.
- Larry could be based off of a former serial killer, David Berkowitz.