USP-S | Kill Confirmed by Tuna Melt appeared in CS:GO on September 17, 2015. The skin is contained in the Shadow Case that was added to the shooter in the “Shadow Boxing” update.

The skin is remarkable for an image of a shot skull on the grip and slide (near the hammer). Along the entire slide and silencer, there is a fire plume from the bullet with skull fragments. The skin's color scheme is dominated by shades of red: from light (blood at the tip of the silencer and at the base of the grip) to dark (most of the background). It is noteworthy that the Chinese version of the skin was censored: instead of the skull, the skin shows a robot's head, and the blood is colored blue.

Float Value of USP-S | Kill Confirmed can vary between 0.00 and 1.00, making the skin obtainable in any exterior quality category. Wear doesn’t affect the pistol's appearance much: the weapon gets darker, and minor abrasions appear, which do not disrupt the integrity of the pattern.

USP-S | Kill Confirmed belongs to the “Covert” rarity grade and is available with the StatTrak kill counter. The skin is moderately popular among CS:GO players.