Used and then immediately played with a bit in Old Harry's Game, after a baby gets sent to Hell by mistake. The demons protest, stating that they can't torment it because even they have standards. Plus, they'd need much smaller instruments.
In the same series, Thomas is such a disgusting moral vacuum that even Satan was shocked by his rap sheet. (When he tried to sell Satan his family's souls in exchange for his own, Satan quoted the trope name almost verbatum). At the start of the second season, Satan has turned him into a dysentery bacterium because he's lowering the tone of the place.
