Strategy for fighting this creature is detailed in the walkthrough for the level. These screenshots are meant to illustrate certain points made there.
Note that I had to use screenshots from several different battles in order to cover everything. So you may notice that the ammo counts, health status and positioning aren't necessarily sequential from one shot to the next.
Circle around the mutant, firing constantly.
Keep shooting until the mutant becomes enraged. You'll see its rage bar (below the health bar at the top right corner of the screen) max out and both bars will glow red, as shown above.
At this point, it will bellow. Even if you can't hear it, you can see the graphic representation of sound waves emanating from its head (above).
When it's done yelling, it will start to lumber toward Lara. Now it's time for the adrenaline dodge.
While maintaining a target lock on the mutant, run to the left or right and press Duck to do the dodge. (Again, the walkthrough includes additional details.) If you perform the move successfully, Lara will leap to one side and you'll see two separate targeting reticules converge on the mutant's head, as shown above.
When the reticules overlap, as is about to happen in the screenshot above, shoot.
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