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This is basically a simple addon that gives you extra blood/gore when you kill people. It's serverside, which means the server needs to have it in order for you to see the blood.
Console Commands:
goremod_bloodlevel - Sets how much blood shoots out of people; admin-only
Plop the 'GoreMod' folder into your addons folder.
Other notes:
-Crossbow bolts and explosions mess up the gore a bit. It flies really fast if you use crossbows/explosions, and I'm working on a fix.
-Non-humanoid NPC's such as Manhacks, Rollermines, and the like shoot out blood.
-You can configure the max goremod_bloodlevel in lua/autorun/server. Set the 'gorelimit' to whatever you want.
FacePunch thread:
Anyways, remember this is version 1, and there's still bugs that need to be worked out.

This download looks like an addon. You need to extract the downloaded zip and put the addon folder in your Garry's Mod addons folder. You should end up with a directory structure similar to below:

  • steamapps
    • common
      • garrysmod
        • garrysmod
          • addons
            • GoreMod <-- Addon folder!
              • e.g.
              • lua
              • maps
              • materials
              • models
              • etc

Don't know where the Garry's Mod folder is or how to extract zip files? See more useful installation tips.

  • GoreMod/
    • info.txt
    • lua/
      • autorun/
        • server/
          • goremod.lua
      • effects/
        • goremod_bloodparticle/
          • init.lua
        • goremod_bloodpool/
          • init.lua