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The award "I Prefer Them Alive" requires the players to kill the Lepotica in the Tall Oaks Cathedralbefore it kills all the female civilians. At least two female civilians must survive in order to earn the achievement/trophy.
When creating the Lepotica, art director Tomonori Takano said they made effort to make sure that it looked less actively aggressive and more actively contagious and horrifying. Its shape and design was modeled after a "pear-shaped" womanly figure as it is like a "mother" to the zombies that it produces.
This creature's name was incorrectly spelt in the English localization as Lepotitsa; given its intention on being a Serbo-Croatian word, a better spelling would be Lepotica. This wiki conforms with the latter.