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* ''Literature/TheGoldenHamsterSaga'': In ''The Haunting of Freddy'', the undead Grim Harry first appears to the elderly Agatha Templeton. He gives her a fatal heart attack, possibly by showing her images of people being tortured in the 1500s.
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* In ''VisualNovel/HigurashiWhenTheyCry'', during the last part of an arc, Mion is hiding under Keiichi's hospital bed, waiting for a chance to attack him when he's alone. But, much as it is a surprise to say, [[spoiler:first, the REAL murderer was [[TwinSwitch Shion]], and second, in the first of the answer arcs, it's revealed that it was actually a hallucination that caused him to see the same thing over and over again until he finally died of a heart attack.]]

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* In ''VisualNovel/HigurashiWhenTheyCry'', during the last part of an arc, Mion is hiding under Keiichi's hospital bed, waiting for a chance to attack him when he's alone. But, much as it is a surprise to say, [[spoiler:first, the REAL murderer was [[TwinSwitch Shion]], and second, in the first of the answer arcs, it's revealed that it was actually a hallucination that caused him to see the same thing over and over again until he finally died of a heart attack. In the original visual novel, Keiichi actually realizes that he's hallucinating.]]
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* The ghost in ''VideoGame/HauntTheHouse'' can frighten the guests so much to the point that they end up jumping out of the windows. However, [[DefiedTrope defying this trope]] (scaring the guests into leaving the house ''through the door'') is the only way to get the highest ranking, as killing any guest results in their ghost sharing the same house with the player's ghost in the ending.
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* ''Series/StarTrekTheNextGeneration'' has a variation in the episode "[[Recap/StarTrekTheNextGenerationS3E16TheOffspring The Offspring]]": when a Starfleet admiral threatens to separate her from her creator[=/=]father Data, Lal's overwhelming fear of the separation results in a cascade failure that leads to her suffering a total systems failure.
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This usually requires a bit of set up, though; the murderer has to [[ClockKing know the victim's routine]], surroundings, and/or [[ManipulativeBastard reactions]] well enough to manipulate them into a nearby danger, often one they have to identify or place themselves. For the sake of ThePerfectCrime, it should be something that was always there, but a harmless gift (or abandoned object) serves just as well if it's in a place that can help kill the victim.

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This usually requires a bit of set up, set-up, though; the murderer has to [[ClockKing know the victim's routine]], surroundings, and/or [[ManipulativeBastard reactions]] well enough to manipulate them into a nearby danger, often one they have to identify or place themselves. For the sake of ThePerfectCrime, it should be something that was always there, but a harmless gift (or abandoned object) serves just as well if it's in a place that can help kill the victim.

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[[{{JustForFun/IThoughtItMeant}} Not to be confused]] with [[{{VideoGame/Borderlands}} Gaige's robot pal]].

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[[{{JustForFun/IThoughtItMeant}} [[JustForFun/IThoughtItMeant Not to be confused]] with [[{{VideoGame/Borderlands}} Gaige's robot pal]].
pal]].

!!As this is a {{Death Trope|s}}, [[Administrivia/SpoilersOff unmarked spoilers abound]]. [[Administrivia/YouHaveBeenWarned Beware]].






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* In ''WesternAnimation/JusticeLeague'', "[[Recap/JusticeLeagueS2E5And6OnlyADream Only a Dream]]", Dr. Destiny's powers work on the same principle as the "Scared Stiff" variant -- with the exception that you ''don't'' have to be in poor health for it to work.

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* In ''WesternAnimation/JusticeLeague'', "[[Recap/JusticeLeagueS2E5And6OnlyADream Only a Dream]]", Dr. Destiny's DreamWeaver powers work do not cause physical injuries, but can cause fatal amounts of shock and pain. And this works on the same principle as the "Scared Stiff" variant -- with the exception that you ''don't'' have to be in poor health for it to work.victims who are perfect healthy or even superhuman.

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* ''Series/NightGallery'' episode "The Ghost of Sorworth Place": A ghost appears near the top of a flight of stairs. A man pursuing the ghost tries to grab it but falls through it and down the flight of stairs, breaking his neck.

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* ''Series/NightGallery'' episode ''Series/NightGallery''
** In
"The Ghost of Sorworth Place": A ghost appears near the top of a flight of stairs. A man pursuing the ghost tries to grab it but falls through it and down the flight of stairs, breaking his neck.neck.
** In "[[Recap/NightGalleryS3E11 Something in the Woodwork]]", Molly nags the ghost into scaring her ex-husband to death (which she has reason to think will work, given his bad heart). It works, but then the ghost possesses the corpse.



* ''Series/StarTrekVoyager'': In the episode [[Recap/StarTrekVoyagerS2E23TheThaw The Thaw]], five people are trapped in a virtual world with a malevolent program that looks like a clown. It can't affect their bodies in the real world, but it still manages to kill some of them by scaring them enough (specifically, he had figured out that the experience of being killed is stressful enough to cause heart attacks).

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* ''Series/StarTrekVoyager'': In the episode [[Recap/StarTrekVoyagerS2E23TheThaw "[[Recap/StarTrekVoyagerS2E23TheThaw The Thaw]], Thaw]]", five people are trapped in a virtual world with a malevolent program that looks like a clown. It can't affect their bodies in the real world, but it still manages to kill some of them by scaring them enough (specifically, he had figured out that the experience of being killed is stressful enough to cause heart attacks).
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* ''Literature/SolarPons'': In "The Adventure of the Frightened Baronet", the villain is attempting to make the title character believe he is being haunted by an Indian spirit in an attempt to have him either [[{{Gaslighting}} declared insane]] or to scare him to death.
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* ''VideoGame/VampireTheMasqueradeBloodlines'': If the player is a [[PunishedWithUgly Nosferatu]], the old lady running the Surfside Diner will [[FaintInShock pass out]] if they try to talk to her. A low-humanity Nosferatu can yell "I'LL SWALLOW YOUR SOUL!" instead, upon which she will die of a heart attack.
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* ''Series/{{Bones}}'': The Season 3 episode "The Mummy in the Maze" gives us Peter Geller, an EMT who moonlights as a SerialKiller. His main M.O. is abducting girls from an amusement park the week before Halloween, injecting them with a cocktail of heavy stimulants, and then scaring them, usually by dressing as clown and stalking them, until their hearts give out. He then mummifies the corpses and uses them as props in the annual Halloween Maze. He's killed by Booth in the climax of the episode, after he misjudges how good a shot Booth and doesn't take adequate cover during a gun fight.
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* ''Film/TheHandThatRocksTheCradle'' combines this with AsthmaPeril when Mrs. Mott boobytraps Claire's greenhouse roof to slam shut with enough force to rain glass all over Claire's friend, Marlene. Upon finding her corpse, Claire suffers an asthma attack and is unable to recover from it due to Mott having emptied all her inhalers. Claire manages to survive the ordeal but is hospitalized.
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* ''Series/{{Astrid}}: Wilfrid Tarquin's death while delivering opening statements in a corruption trial in "The Haunting". He was literally scared to death (via [[https://www.bhf.org.uk/informationsupport/conditions/cardiomyopathy/takotsubo-cardiomyopathy takotsubo cardiomyopathy]]) by [[spoiler:seeing a man he had murdered decades ago in the gallery (it was actually the man's similar-looking son, who [[AccidentalMurder just meant to frighten him into confessing]])]].

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* ''Series/{{Astrid}}: ''Series/{{Astrid}}'': Wilfrid Tarquin's death while delivering opening statements in a corruption trial in "The Haunting". He was literally scared to death (via [[https://www.bhf.org.uk/informationsupport/conditions/cardiomyopathy/takotsubo-cardiomyopathy takotsubo cardiomyopathy]]) by [[spoiler:seeing a man he had murdered decades ago in the gallery (it was actually the man's similar-looking son, who [[AccidentalMurder just meant to frighten him into confessing]])]].
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* ''Series/{{Astrid}}: Wilfrid Tarquin's death while delivering opening statements in a corruption trial in "The Haunting". He was literally scared to death (via [[https://www.bhf.org.uk/informationsupport/conditions/cardiomyopathy/takotsubo-cardiomyopathy takotsubo cardiomyopathy]]) by [[spoiler:seeing a man he had murdered decades ago in the gallery (it was actually the man's similar-looking son, who [[AccidentalMurder just meant to frighten him into confessing]])]].
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* ''Film/AxeMurderingWithHackley'': When [[spoiler:the sheriff's daughter]] sees Hackley about to attack [[spoiler:her, she]] lets out a long scream of fright... and then falls over, dead. Hackley is worried by this, since it's the kind of death that's hard to attribute to him, meaning he might not make his quota and lose his job. [[spoiler:Which is what happens the next day.]]
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* ''Series/TheBrokenwoodMysteries'': The aptly-titled "Scared to Death" features the VictimOfTheWeek dying after emerging from a scary ride at his own A&P show, seemingly having been killed by fright. [[spoiler:He was injected with poison during the ride.]]
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* In ''Film/{{Ghost}}'', Sam's very limited ability to interact with the physical world means that his primary means of fighting both of the film's villains is based in poltergeist scares. Both villains of the film meet their karmic ends this way, one by running into oncoming traffic and the other when his own panicked actions break the window he's trying to climb out of into deadly shards of glass - although judging by Sam's reactions, neither death was what he'd intended to accomplish with his hauntings.

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* In ''Film/{{Ghost}}'', ''Film/Ghost1990'', Sam's very limited ability to interact with the physical world means that his primary means of fighting both of the film's villains is based in poltergeist scares. Both villains of the film meet their karmic ends this way, one by running into oncoming traffic and the other when his own panicked actions break the window he's trying to climb out of into deadly shards of glass - although judging by Sam's reactions, neither death was what he'd intended to accomplish with his hauntings.
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** In "The Three Ghosts" the villain is trying to do this to his wife, and apparently did it to his last one.

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** In "The "[[Recap/TheShadowRadioS01E06 The Three Ghosts" Ghosts]]" the villain is trying to do this to his wife, and apparently did it to his last one.
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* ''Phantasmal Killer'' and related spells in ''TabletopGame/DungeonsAndDragons'' cause the target to imagine being attacked by their worst fears come to life. If they fail both a will save to disbelieve the illusory assailant, and the fortitude save to avoid having their heart stop, they drop dead on the spot.
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* Creator/EdgarAllanPoe's ''Literature/TheFallOfTheHouseOfUsher'', Roderick's heart gives out when confronted by his buried-alive sister after she claws her way out of the Usher family tomb.
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* In ''VideoGame/Hitman2016'' mission ''Situs Invertus'', one of the ways 47 can assassinate [[spoiler:Erich Soders]] is to walk up to his operating table and look at him in the eyes. Just knowing how screwed he is when he sees who he knows as the world's finest assassin is enough to make him go into a cardiac arrest and die.

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* In ''VideoGame/Hitman2016'' mission ''Situs Invertus'', one of the ways 47 can assassinate [[spoiler:Erich Soders]] is to walk up to his operating table and look at him in the eyes. Just knowing how screwed he is when he sees who he knows as the world's finest assassin is enough to make him go into a cardiac arrest and die. Justified in that he has a serious heart condition (in fact, the operation he went in for is a ''heart transplant'').
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* In ''VideoGame/Hitman2016'' mission ''Situs Invertus'', one of the ways 47 can assassinate [[spoiler:Erich Soders]] is to walk up to his operating table and look at him in the eyes. Just knowing how screwed he is when he sees who he knows as the world's finest assassin is enough to make him go into a cardiac arrest and die.


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* In ''VideoGame/SekiroShadowsDieTwice'', Terror is a status effect that causes instant death if its effect accumulates to full. Enemies that can apply these are rare, but are worthily nightmarish creatures to boot.
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* In the ''Franchise/{{Batman}}'' mini-series ''The Legend Of The Batman'', it's revealed he's accidentally done this twice. The first time is when he confronts Joe Chill, revealing his identity to him. In a panic, he runs and confronts his cohorts, who shoot him when they realized ''he'''s the reason Batman exists. The second time is when Batman decides to confront the mobster who ordered Joe to murder the Waynes. Having no other costume except his father's Halloween costume, he wears that to confront the mobster and, his memory being jogged by it, the mobster runs right into a semi thinking that the ghost of Thomas Wayne had arrived.

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* In the ''Franchise/{{Batman}}'' mini-series ''The Legend Of The Batman'', ''ComicBook/TheLegendOfTheBatman'', it's revealed he's accidentally done this twice. The first time is when he confronts Joe Chill, revealing his identity to him. In a panic, he runs and confronts his cohorts, who shoot him when they realized ''he'''s the reason Batman exists. The second time is when Batman decides to confront the mobster who ordered Joe to murder the Waynes. Having no other costume except his father's Halloween costume, he wears that to confront the mobster and, his memory being jogged by it, the mobster runs right into a semi thinking that the ghost of Thomas Wayne had arrived.



* Used in ''Ramba'' when she is hired to kill a mob boss and make it look like natural causes. She breaks into his doctor's office and learns that he has a weak heart. She then breaks into his bedroom and throws a knife at him. The knife is tied to a string around her wrist and stops short of his chest, but the fright triggers a fatal heart attack.

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* Used in ''Ramba'' ''ComicBook/{{Ramba}}'' when she is hired to kill a mob boss and make it look like natural causes. She breaks into his doctor's office and learns that he has a weak heart. She then breaks into his bedroom and throws a knife at him. The knife is tied to a string around her wrist and stops short of his chest, but the fright triggers a fatal heart attack.



* In ''Scream of the Banshee'', the Banshee kills her first victim after [[SealedEvilInACan being released]] by scaring him until he had a heart attack.

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* In ''Scream of the Banshee'', ''Film/ScreamOfTheBanshee'', the Banshee kills her first victim after [[SealedEvilInACan being released]] by scaring him until he had a heart attack.
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* ''Series/StarTrekVoyager'': In the episode [[Recap/StarTrekVoyagerS2E23TheThaw The Thaw]], five people are trapped in a virtual world with a malevolent program that looks like a clown. It can't affect their bodies in the real world, but it still manages to kill some of them by scaring them enough.

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* ''Series/StarTrekVoyager'': In the episode [[Recap/StarTrekVoyagerS2E23TheThaw The Thaw]], five people are trapped in a virtual world with a malevolent program that looks like a clown. It can't affect their bodies in the real world, but it still manages to kill some of them by scaring them enough.enough (specifically, he had figured out that the experience of being killed is stressful enough to cause heart attacks).
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* In ''Film/TheBloodyOlive'', Werner and Sam exploit Mylène's heart condition and make her die of a shock to [[InsuranceFraud collect the insurance and inheritance money]].
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-->--'''Dr. Tad Johns''', ''Film/TheMonsterThatChallengedTheWorld''

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-->--'''Dr.-->-- '''Dr. Tad Johns''', ''Film/TheMonsterThatChallengedTheWorld''



* The western horror short story ''Mr. Kennedys Bones'' has a scene that combines this trope with a BatmanGambit (as it could have gone poorly). The VillainProtagonist rides up to the prospecting claim of Zeke [=McMasters=], one of the mob who lynched his former partner in crime Mr. Kennedy (the two murdered dozens of travelers for both their money and their bodies, which they sold to a medical school) several years ago. He puts the mummified body of Kennedy (which he’s kept for all those years) in the front seat of his wagon with him to invoke this trope. Sure enough when Zeke sees them he’s horrified and flees into his mine screaming. He screams so loud that the vibrations cause the mines flimsy support beams to give way, burying Zeke in a cave-in.

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* The western horror short story ''Mr. Kennedys Bones'' has a scene that combines this trope with a BatmanGambit (as it could have gone poorly). The VillainProtagonist rides up to the prospecting claim of Zeke [=McMasters=], one of the mob who lynched his former partner in crime Mr. Kennedy (the two murdered dozens of travelers for both their money and their bodies, which they sold to a medical school) several years ago. He puts the mummified body of Kennedy (which he’s he's kept for all those years) in the front seat of his wagon with him to invoke this trope. Sure enough when Zeke sees them he’s he's horrified and flees into his mine screaming. He screams so loud that the vibrations cause the mines flimsy support beams to give way, burying Zeke in a cave-in.



* ''Series/SuperiorCourt'': An episode of the 1980s courtroom drama saw a young man tried for first-degree murder after his grandmother died of a massive, fright-induced heart attack. The prosecutors alleged he and an accomplice used the knowledge of her weak heart during a robbery to enforce the Scared Stiff variant, while the defense said no physical evidence was left behind and that it could not be definitively proven her heart attack was a direct result of her grandson’s actions. The judge disagreed and found the defendant guilty of first-degree murder.

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* ''Series/SuperiorCourt'': An episode of the 1980s courtroom drama saw a young man tried for first-degree murder after his grandmother died of a massive, fright-induced heart attack. The prosecutors alleged he and an accomplice used the knowledge of her weak heart during a robbery to enforce the Scared Stiff variant, while the defense said no physical evidence was left behind and that it could not be definitively proven her heart attack was a direct result of her grandson’s grandson's actions. The judge disagreed and found the defendant guilty of first-degree murder.
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* ''Series/CriminalMinds'': One unsub kills via a combination of the "Deer in the Headlights" and "Scared Stiff" variant. He poses as a psychiatrist trying to help his victims with their phobias so that he truly understands what scares them, drugs them to intensify their fears, and then traps them in an appropriate situation. Since the fears tended to be things like "drowning" and "being buried alive," the fear wasn't the only direct cause, but the claustrophobic victim didn't suffocate, so it was a major factor.

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* The ''Literature/FightingFantasy'' adventure, ''Literature/HouseOfHell'', have you assuming an ordinary civilian stuck in a haunted mansion, and forced to spend a night there. You get a new stat called "Fear" which increases until it breaks maximum, at which point you'll be literally scared to '
'death''.

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* The ''Literature/FightingFantasy'' adventure, ''Literature/HouseOfHell'', have you assuming an ordinary civilian stuck in a haunted mansion, and forced to spend a night there. You get a new stat called "Fear" which increases until it breaks maximum, at which point you'll be literally scared to '
'death''.
''death''.
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[[folder:Gamebooks]]
* ''The Forbidden Gateway'' duology has a stat called Endurance, which decreases every time you had a scary encounter; should it drop to zero, you'll pass out from cumulative shock, and even if you survive you'll end up forgetting your identity.
* The ''Literature/FightingFantasy'' adventure, ''Literature/HouseOfHell'', have you assuming an ordinary civilian stuck in a haunted mansion, and forced to spend a night there. You get a new stat called "Fear" which increases until it breaks maximum, at which point you'll be literally scared to '
'death''.
[[/folder]]
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* In ''VideoGame/WorldOfWarcraft'', Fear is one of the StandardStatusEffects that does no damage by itself, but a few dungeon bosses count as this trope: they fear the {{Player Character}}s, making them run around at random so that they risk running into a group of unengaged mobs and aggroing them. Onyxia is the most notorious for this, as her lair contains two pens with whelp eggs, which players who are feared run into and are overcome by whelps.

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* In ''VideoGame/WorldOfWarcraft'', Fear is one of the StandardStatusEffects StatusEffects that does no damage by itself, but a few dungeon bosses count as this trope: they fear the {{Player Character}}s, making them run around at random so that they risk running into a group of unengaged mobs and aggroing them. Onyxia is the most notorious for this, as her lair contains two pens with whelp eggs, which players who are feared run into and are overcome by whelps.

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