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* Part of the process of preparing the titular Mask of the Lunar Eclipse requires that a face removed from a non-infected deceased be placed inside of it and have moonlight shine upon it all night, before peeling it off and letting the mask tan. ''[[{{Squick}} Gross!]]''
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** Himiko Kiriya and Yuuzo Takemura had a straight up ''medieval'' iron apparatus forced onto their heads, which ultimately did nothing but speed up their Blossoming and kill them quickly. Yuuzo suffers even more past his death, where his corpse was cut up into pieces in another futile attempt to study the Syndrome.
** Kyoko Kitazume was hanged upside down in a torture room and ended up Blossoming to death during the Day of Tranquility while still hanging upside down.
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* Some of the experimental treatments performed by Director Haibara in an attempt to cure Moonlight Syndrome are downright ''ghastly''.
** Asagi Hizuki, a ''6 year-old girl,'' was repeatedly operated on despite her protests, which only served to worsen her condition in a very awful way, causing her hair to fall out, making her cry TearsOfBlood and see nothing but red, and rapidly deteriorating her sanity until she died.

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* The song that plays in the infirmary is [[BrownNote highly unpleasant]] to listen to, being a very loud, blaring, and almost cacophonic melody, and the characters actively note how awful it sounds.



* While searching for Director Haibara's assistant, Choushiro ends up being startled by[[https://www.youtube.com/watch?v=vZ24X6IaU-s&t=6m36s Dr. Katagiri himself]], popping up on the screen completely out of nowhere.
* When Choshiro enters Yuko Magaki's room, he trips over something in the rather messy room. Turns out that it's Magaki's ghost himself, crawling on the floor and grabbing Kirishima's leg.
* Even after death from the Moonlight Syndrome, the victim's corpse continues to Blossom and serve as a vector of tranmission, which must be stopped by ''cutting their face off.'' A hidden ghost picture you can take actively ''shows'' you a corpse's face being cut off, in all of its gory details.

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** Even after death from the Moonlight Syndrome, the victim's corpse continues to Blossom and serve as a vector of transmission, which must be stopped by ''cutting their face off.'' A hidden ghost picture you can take actively ''shows'' you a corpse's face being cut off, in all of its gruesome detail.
* While searching for Director Haibara's assistant, Choushiro ends up being startled by[[https://www.by [[https://www.youtube.com/watch?v=vZ24X6IaU-s&t=6m36s Dr. Katagiri himself]], popping up on the screen completely out of nowhere.
* When Choshiro Choushiro enters Yuko Magaki's room, he trips over something in the rather messy room. Turns out that it's Magaki's ghost himself, crawling on the floor and grabbing Kirishima's leg.
* Even after death from the Moonlight Syndrome, the victim's corpse continues to Blossom and serve as a vector of tranmission, which must be stopped by ''cutting their face off.'' A hidden ghost picture you can take actively ''shows'' you a corpse's face being cut off, in all of its gory details.
Choushiro's leg.
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* The Moonlight Syndrome in general. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.
* Kirishima is [[BlatantLies quite happy]] to be [[https://www.youtube.com/watch?v=vZ24X6IaU-s&t=6m36s greeted by Dr. Katagiri]]!
* When Kirishima enters Yukou Magaki's room, he trips over something in the rather messy room. Turns out that it's Magaki's ghost himself, crawling on the floor and grabbing Kirishima's leg.
* Blooming in itself and what to do to stop the process. Cutting the person's face off first comes across as not all that terrible, since it's being done to corpses. But you get to see what it looks like, when you cut someone's face off...

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* The Moonlight Syndrome in general. Symptoms general, a debilitating mental disease native to Rogetsu Isle. Among the many symptoms include memory loss, sleepwalking sleepwalking, and the worst symptom being Blossoming: no longer recognizing one's own face or seeing it as blurry and distorted. And seeing if a patient sees the face of a another patient's more advanced Blossomed face, their own condition can make ''your own'' condition worsen.
outright worsens and Blossoms on the spot.
* Kirishima is [[BlatantLies quite happy]] to be [[https://www.While searching for Director Haibara's assistant, Choushiro ends up being startled by[[https://www.youtube.com/watch?v=vZ24X6IaU-s&t=6m36s greeted by Dr. Katagiri]]!
Katagiri himself]], popping up on the screen completely out of nowhere.
* When Kirishima Choshiro enters Yukou Yuko Magaki's room, he trips over something in the rather messy room. Turns out that it's Magaki's ghost himself, crawling on the floor and grabbing Kirishima's leg.
* Blooming in itself Even after death from the Moonlight Syndrome, the victim's corpse continues to Blossom and what to do to stop the process. Cutting the person's serve as a vector of tranmission, which must be stopped by ''cutting their face off first comes across as not all that terrible, since it's off.'' A hidden ghost picture you can take actively ''shows'' you a corpse's face being done to corpses. But you get to see what it looks like, when you cut someone's face off...off, in all of its gory details.

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* Ayako is this incarnate. And her room has an eerie yellow glow to it, doll parts hanging from the ceiling and getting in your way and the whispering and laughing you hear in the background. And then Ayako appears for the first time jumping down and grabbing you by the shoulders. Never mind the things she's done to other patients or the nurses...

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* Ayako Almost EVERYTHING about [[EnfanteTerrible Ayako.]]
** Possibly driven insane by the Moonlight Syndrome, she
is this incarnate. And her a cruel and psychopathic brat who does all sorts of evil, including but not limited to pushing people down the stairs, cutting the nurses with scissors, dragging one of them by the hair, and cutting off the head of a canary.
** Her
room has an eerie yellow glow to it, doll parts hanging from the ceiling and getting in your way and the way, with eerie whispering and laughing you hear in the background. And then Ayako appears for the first time jumping She makes her presence known by dropping down on Misaki and grabbing you by attacking her, and later does the shoulders. Never mind same thing to Ruka and Choushiro when they enter her room.
** The worst part is that due to being closely connected to
the things she's done to other patients or Haibaras, being the nurses...daughter of Yo and Sakuya Haibara, the staff can't actively raise a hand to stop her, and as shown in his notes, Yo actively ''enables'' her behavior and muses on how she likes to play with beautiful things.

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''Mask of the Lunar Eclipse'' is widely considered to be the most terrifying game in the series, and for ''very'' good reason.\\\



* The ghosts in general are significantly scarier than the previous games, combining a NightmareFace alongside much more aggressive attack patterns.
* Madoka's death and transformation into a hostile spirit. After being ditched by Misaki, Madoka desperately tries to find her, and picks up the Camera Obscura to fight off a ghost. After she defeats the ghost however, she's suddenly locked in the room with ''more'' ghosts surrounding her. All Madoka can do is cower in sheer terror, and the screen cuts to black before anything happens. Once Ruka finds Madoka, she's become a malevolent ghost who immediately attacks Ruka.



* Getsuyuu/Luna Sedata/Moonlight Syndrome. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.

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* Getsuyuu/Luna Sedata/Moonlight Syndrome.The Moonlight Syndrome in general. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.
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* Getsuyuu/Luna Sedata Syndrome. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.

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* Getsuyuu/Luna Sedata Sedata/Moonlight Syndrome. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.
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* Some of the music in the game is [[https://www.youtube.com/watch?v=RxKzJu1WdVc just]] plain [[https://www.youtube.com/watch?v=Rw1-eBFm5fI creepy]].

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* Some of the music in the game is [[https://www.youtube.com/watch?v=RxKzJu1WdVc just]] plain [[https://www.youtube.com/watch?v=Rw1-eBFm5fI creepy]].creepy]].
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Moving over entries specific to Fatal Frame 4.

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!As a Moments subpage, all spoilers are unmarked [[Administrivia/SpoilersOff as per policy.]] Administrivia/YouHaveBeenWarned.

Head [[NightmareFuel/FatalFrame here]] for the general ''[[VideoGame/FatalFrame Fatal Frame]]'' Nightmare Fuel page.
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* Ayako is this incarnate. And her room has an eerie yellow glow to it, doll parts hanging from the ceiling and getting in your way and the whispering and laughing you hear in the background. And then Ayako appears for the first time jumping down and grabbing you by the shoulders. Never mind the things she's done to other patients or the nurses...
* Getsuyuu/Luna Sedata Syndrome. Symptoms include memory loss, sleepwalking and no longer recognizing one's own face or seeing it as blurry and distorted. And seeing the face of a patient's more advanced condition can make ''your own'' condition worsen.
* Kirishima is [[BlatantLies quite happy]] to be [[https://www.youtube.com/watch?v=vZ24X6IaU-s&t=6m36s greeted by Dr. Katagiri]]!
* When Kirishima enters Yukou Magaki's room, he trips over something in the rather messy room. Turns out that it's Magaki's ghost himself, crawling on the floor and grabbing Kirishima's leg.
* Blooming in itself and what to do to stop the process. Cutting the person's face off first comes across as not all that terrible, since it's being done to corpses. But you get to see what it looks like, when you cut someone's face off...
* Some of the music in the game is [[https://www.youtube.com/watch?v=RxKzJu1WdVc just]] plain [[https://www.youtube.com/watch?v=Rw1-eBFm5fI creepy]].

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