Multipliers Difficulty | Dmg Done | Dmg Taken ------------------------------------------ V.easy | x 2 | x 0.5 Easy | x 1.5 | x 0.75 Normal | x 1 | x 1 Hard | x 0.75 | x 1.5 V.Hard | x 0.5 | x 2 Survival | x 0.5 | x 2 Not sure about the # for NPC's HP increase. It also affect some other things, like the Healing speed/rate, spawn rate of legendary enemies and other similar effects. I don't have hard numbers for those though. There are no new mechanics on higher difficulty.