The sequel is not titled F.E.A.R. 2 due to Vivendi's ownership of the F.E.A.R. name. However, the follow-up will stay in the game's existing universe, retaining the original storyline and characters, although it won't recognize Extraction Point or Perseus Mandate. Monolith Productions will require a new publisher for the game, since they were purchased by Warner Brothers Interactive Entertainment in 2004 while development of F.E.A.R. was under way, after which Vivendi Universal was dropped as publisher. Monolith has revealed it will be released in 2008.

The game was shown for the first time at the 2007 E3 Expo.

The sequel to F.E.A.R. continues the supernatural suspense story of an escalating paranormal crisis that threatens to destroy a major American city. At the center of the calamity is the mysterious Alma, whose rage against those who wronged her triggered a chain of events that has spiraled completely out of control. Instead of playing as the Point Man, the game's protagonist is a Delta Force operative whose squad is sent in to arrest Genevieve Aristide approximately thirty minutes before the ending of F.E.A.R. At some point in the game, the player character, via surgery, will receive reflex powers exhibiting the same slow-motion ability like the Point Man.