Valve says the cover represents the title of the game, due to the hand being the "left" hand while only having "4" fingers while also being "dead," making up the title (Left 4 Dead).
Also, others have speculated that the hand has some sort of significance to what transpired during the first two weeks, as another image of this hand being x-rayed can be seen in The Hospital level in No Mercy and is in the very first scene of the intro cutscene.
A thumb was added in the German and Japanese version for censorship reasons.
The Survivors
There are four playable human characters in the game. Every Survivor has his or her own unique appearance, personality, and background, though all Survivors are equal in speed, strength, rate of fire and health, etc. There is no "strongest" Survivor, so character choice is purely player preference.
The Infected
In addition to the common Infected, there are five different types of Special Infected in the game. Only four are usable by players in Versus Mode. Each Infected has its own unique attacks and method of use, but all attempt to work in tandem to defeat the Survivors before they complete the level.
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