Bella Ramsey reveals extreme ‘The Last of Us’ set conditions amplified autistic traits: ‘It was cruel’

The filming of the second season of The Last of Us presented intense challenges for Bella Ramsey, the star who plays Ellie in the acclaimed video game adaptation. In a recent interview, the 21-year-old actor opened up about how the harsh set conditions, marked by cold, wet, and muddy environments, impacted their mental health and heightened traits related to their autism diagnosis. Ramsey, who uses “they/them” pronouns, described the experience as “completely cruel” at times, shedding light on the grueling behind-the-scenes reality of the hit HBO series. With the second season set to premiere in 2025, Ramsey’s story highlights the personal toll of bringing this post-apocalyptic world to life.
The production demanded Ramsey and their co-stars navigate unforgiving outdoor locations, where freezing temperatures and constant moisture were the norm. Waterproof clothing, worn beneath costumes to combat the elements, triggered significant sensory discomfort, particularly for someone with heightened sensitivities. “I tried to pretend nothing was wrong, but it was hard to ignore,” Ramsey said, explaining how they distracted themselves to avoid “losing it.” During breaks, they often tore off the clothing in search of relief, a reaction to the overwhelming sensory overload caused by the set conditions.
Ramsey’s autism diagnosis, received during the filming of the first season, brought new clarity to their experiences. A conversation with a crew member, who shared insights about their autistic daughter, prompted Ramsey to seek a professional evaluation. They publicly discussed their condition for the first time in March 2024, during the promotional event for the second season’s launch. By sharing their journey, Ramsey aims to normalize conversations about neurodiversity in the entertainment industry, a space where such discussions are still evolving.
Harsh realities of the set
The production of The Last of Us required the cast to endure environments that mirrored the desolate, post-apocalyptic setting of the story. Muddy terrains, frigid weather, and relentless rain defined the filming locations, primarily in Canada. For Ramsey, these conditions were not just physically taxing but also sensory triggers that amplified their autistic traits, such as hypersensitivity to textures and sounds. “The exhaustion built up, and it made everything worse,” they explained.
The costumes posed an additional hurdle. Waterproof layers, while practical, were stifling and irritated Ramsey’s sensory sensitivities. They described the sensation as “cruel,” particularly during extended shooting days. Maintaining focus on their performance while grappling with discomfort demanded immense mental resilience. The production’s commitment to authenticity, achieved through real-world locations rather than studio sets, delivered stunning visuals but came at a cost to the cast’s well-being.
Despite these challenges, Ramsey emphasized their determination to push through. The experience underscored the physical and emotional demands of acting in a high-stakes production, particularly for someone navigating neurodiversity. Their ability to deliver a compelling performance under such conditions speaks to their dedication and talent.
- Key set challenges:
- Freezing, muddy filming locations.
- Uncomfortable waterproof clothing triggering sensory issues.
- Long shooting schedules increasing fatigue and sensory overload.
A journey of self-discovery
Bella Ramsey’s autism diagnosis marked a pivotal moment in their personal and professional life. While working on the first season, they began to suspect they might be on the spectrum, a question that had lingered for years. A crew member’s story about their autistic daughter encouraged Ramsey to pursue a formal diagnosis. “I’d always wondered, but I hadn’t taken the step,” they shared.
The diagnosis provided clarity but also highlighted new challenges, especially in the demanding environment of the set. Sensory sensitivities, a common trait in autism, made the filming conditions particularly difficult. Ramsey developed coping strategies, such as taking breaks to manage sensory overload, but the intensity of the production often tested their limits. Their openness about the experience has resonated with fans and colleagues, who have praised their courage in addressing such a personal topic.
Ramsey’s story also underscores the need for more inclusive workplaces in the entertainment industry. While The Last of Us is a major production, the challenges they faced highlight gaps in accommodating neurodivergent talent. By speaking out, Ramsey is helping to pave the way for greater awareness and change in how sets support their casts.
Neurodiversity in Hollywood
Bella Ramsey’s experience shines a spotlight on the realities faced by neurodivergent actors in Hollywood. The industry’s high-pressure environments, with long hours and physically demanding conditions, can be especially challenging for those with sensory sensitivities. Ramsey is not the first to raise this issue, but their prominence as the lead in a globally successful series amplifies the conversation.
The cumulative exhaustion from months of filming exacerbated Ramsey’s autistic traits, making it harder to maintain emotional balance. They described how the sensory overload from costumes and environments pushed them to their limits, requiring constant effort to stay grounded. These challenges reveal the hidden struggles behind the polished final product seen on screen.
The Last of Us demands both emotional depth and physical stamina from its cast, with Ramsey’s portrayal of Ellie requiring a delicate balance of vulnerability and strength. Navigating these demands while managing autism-related challenges demonstrates Ramsey’s resilience and commitment to their craft. Their story is a call for the industry to rethink how it supports neurodivergent talent.
- Factors that intensified Ramsey’s challenges:
- Harsh outdoor filming conditions.
- Costumes that aggravated sensory sensitivities.
- Intense shooting schedules with minimal downtime.
- Emotional weight of performing complex scenes.
Adapting a gaming masterpiece
The Last of Us has earned praise as one of the most successful video game adaptations, with its first season captivating audiences in 2023. Produced by HBO, the series stays true to the Naughty Dog game’s core, depicting a world ravaged by a mutant fungus that turns humans into hostile creatures. The second season, slated for release in 2025, will expand the story, introducing new characters and deeper conflicts.
Ramsey, previously known for their role as Lyanna Mormont in Game of Thrones, has won over fans with their nuanced portrayal of Ellie. The character, a tough yet vulnerable teenager, requires a performance that resonates emotionally, which Ramsey delivers effortlessly. However, the behind-the-scenes effort reveals the toll of bringing such a story to life, particularly under challenging conditions.
Filming for the second season began in early 2024, with key scenes shot in Canada to capture the game’s desolate aesthetic. The use of real locations, rather than green screens, added authenticity but intensified the physical demands on the cast. For Ramsey, these choices amplified the sensory and emotional challenges they faced daily.
Raising awareness for neurodiversity
Ramsey’s decision to speak openly about their autism reflects a broader cultural shift toward embracing neurodiversity. In March 2024, during the second season’s promotional event, they shared their diagnosis publicly for the first time, surprising fans who had followed their career. The announcement was met with widespread support, highlighting the power of visible figures addressing mental health and inclusion.
Autism manifests differently for everyone, and for Ramsey, sensory sensitivities were a significant hurdle on set. They described embracing their identity while learning to navigate its challenges, stating, “It’s who I am, and I’m figuring it out.” Their candor has sparked conversations about the need for better accommodations in the entertainment industry.
While representation of neurodivergent characters has improved in media, the industry’s behind-the-scenes practices lag behind. Ramsey’s experience emphasizes the importance of practical changes, such as sensory-friendly costumes, adequate breaks, and crew training on neurodiversity. Their advocacy could drive meaningful progress in how productions support their talent.
- Steps to improve set inclusivity:
- Crew education on neurodiversity and sensory needs.
- Costumes designed with sensory-friendly materials.
- Scheduled breaks to prevent sensory overload.
- Open communication with cast about individual needs.
Timeline of the second season
The production of The Last of Us followed a tight schedule to meet its 2025 premiere. Filming for the second season kicked off in early 2024, with most outdoor scenes shot in Canada. The locations, chosen to reflect the game’s ruined cities and barren landscapes, required the cast to endure harsh conditions for months.
The new season will introduce characters from the second game, including Abby, played by Kaitlyn Dever. The story picks up years after the first season, delving deeper into Ellie and Joel’s relationship. Ramsey faced a demanding schedule, often working over 12-hour days to bring the complex narrative to life.
Set to debut in April 2025, the second season is backed by a robust HBO marketing campaign. Early images feature Ramsey in gritty scenes that echo the game’s raw tone, signaling the production’s commitment to staying faithful to the source material.
Bella Ramsey’s lasting impact
Bella Ramsey’s career extends beyond The Last of Us. Their breakout role as Lyanna Mormont in Game of Thrones showcased their ability to command the screen, earning them early recognition. At 21, Ramsey has solidified their place as a rising star, blending raw talent with authenticity.
By sharing their autism journey, Ramsey has made an impact off-screen, fostering discussions about inclusion and mental health. Their openness resonates with audiences worldwide, proving that vulnerability can be a powerful tool for change. As a role model, Ramsey is helping to redefine what it means to succeed in Hollywood while staying true to oneself.
Their work on The Last of Us has cemented their status as a standout performer, but it’s their resilience that truly shines. Balancing intense filming conditions, sensory challenges, and a demanding role, Ramsey has delivered a performance that promises to captivate audiences. As the second season approaches, their influence—both as an actor and an advocate—continues to grow.
- Milestones in Bella Ramsey’s career:
- Debut as Lyanna Mormont in Game of Thrones (2016-2019).
- Lead role as Ellie in The Last of Us (2023-2025).
- Public disclosure of autism diagnosis (March 2024).
- Promotional appearances for the second season (2024-2025).


