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Live Action TV
- In No More Heroes, Kimmy Howell gives the main character a letter that starts out pretty standard... before taking a turn for the Ax-Crazy.
- All of the boss monsters in Gingiva will propose marriage to you, and when you refuse, you are forced to kill them. Each monster has a unique one of these that automatically appears in your inventory afterwards.
- In Nancy Drew: The White Wolf of Icicle Creek, Elsa received several from her boyfriend before he started vandalising her car.
- Ivan the Apprentice of Oglaf receives a series of decreasingly sane ones from his boss' minions as a joke.
- One of the many of the items that SCP Foundation has is a mailbox designated as SCP-1269, which sends romantic letters to its female owners, which quickly become possessive in tone, and later downright crazy and murderous.
- SCP-962 sends these, with humanity being the target of its affection.
- Parodied in the Hardly Working sketch "My Bloody Valentine". Sarah receives a bunch of increasingly disturbing love notes from Pat which contain stuff like "Bee mine?.... THAT WASN'T A QUESTION." Then he kills everyone who flirted with her, and Sarah herself.
- There are gacha machines in Japan that dispense these. They're intended for use as pranks.