Hell on Earth, literally. In most cases, Hell is something you don't have to worry about unless you're on the negative side of the Karma Meter, and even then, only if you're careless enough to die. Even if it's more tangible, its usually on the other side of a Hell Gate which can be handily sealed up if necessary at a maximum of a few thousand human sacrifices to the dark ones. Then there are the unlucky worlds which have the ultimate in Crapsack Worlds in their backyards. Usually deep underground, occupied by the physical Legions of Hell and probably making themselves felt on the human lands above them. In particularly bad cases they may be unstoppable, and the only hope is to avoid disturbing them in the first place. In more optimistic settings, some heroes may find themselves completely occupied keeping the demons at bay and stopping them from ravaging their fellow humans. Should they manage to fight the demons off, only the truly mightiest of heroes can actually take the step of invading hell, and most won't be the most stable individuals after the experience. If the humans are lucky, heaven will also have set up shop in the region. If they're even luckier, the hapless monkeys won't end up caught in the supernatural crossfire. Hell on Earth is when Hell was originally in another dimension, but is deciding to colonise the physical realm and create this situation. Or just kill everyone; demons are fickle like that. Mordor is related — a dark physical realm which is like hell but often isn't explicitly said or even meant to be hell, just an inherently evil land.
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- Hell in Dark Angel: the Ascent was portrayed this way.
- In Bedazzled (1967), the Devil and George materialize in a grim, vacant city neighborhood that hadn't rebuilt from the Blitz. George wonders if it's Hell; the Devil tells him it's his London branch, pointing to his HQ, a sleazy-looking little basement nightclub.
- In the remake, the Devil takes Elliot to a Los Angeles nightclub where everyone is partying and having a great time, and welcome Elliot with open arms; the Devil later says she has offices in Hell, Purgatory and L.A., so this is presumably her L.A. branch. Near the end of the movie Elliot returns, and the party is still going on, and he notices that everyone seems to be enjoying it less than before.
- Neil Gaiman wrote a short story called Cold Colours, which is about this.
- In The Descent by Jeff Long, it turns out that there's an underground world under ours, inhabited by cruel demon-like humanoids. There's also a Satan... of sorts.
- In The Stormlight Archive, Hell is called Damnation and characters refer to it the same way we do. But hints in the text and Word of God indicate that Damnation is actually a planet called Braize, ruled by Odium. It is presumably the source of the Voidspren, as well as the location where the Heralds were tortured between Desolations.
- In the short story Shadows For Silence In The Forests Of Hell, also set in The Cosmere, a continent on a minor shardworld is entirely occupied by what appear to be shades of the dead. Exactly what relation they have to the original person is unclear, but they are malevolent and don't seem very happy.
- While not called "Hell," Magic: The Gathering's Phyrexia is pretty close. It was a series of nine spheres nested inside each other, each with a different purpose. The Ninth Sphere was the abode of Yawgmoth ("The Ineffable" to the Phyrexians) the Machine-God. This construction is an obvious homage to Dante's Inferno. The fact that it was a perversion of nature, drenched in soot, and the high-ranking Phyrexians were referred to as "Demons" only drives this point home. Cards like Priest of Gix imply that there was even a Religion of Evil worshiping Yawgmoth in the main storyline world of Dominaria.
- The planar shard of Grixis is also pretty close. It's defined by the lack of White and Green mana, the sources of light and life. Grixis is ruled by demons, the dead, and worse, all vying for ever dwindling amounts of life energy which is also constantly being recycled. Life there sucks for pretty much everybody but it really sucks for the few remaining mortal residents.
- Greek mythology has Hadesnote , which is occasionally depicted as an actual physical location accessible via various caves. The Greeks believed certain actual caves led to the underworld because of the noxious volcanic fumes issuing out of them.
- Thomas Hobbes was a materialist but was weary of being accused of atheism and believed in physical everything. Democritus said if matter is eternally conserved, then any combination of them will eventually be repeated - therefore the Resurrection. Physical heaven, hell, God, they're all out there somewhere.
- A lot of people in the Dark Ages thought Hell was a system of caves somewhere, perhaps at the center of the earth. Dante's Divine Comedy bears this out: Dante accesses Hell by an entrance in the middle of a dark forest and eventually emerges on the other side of the world. According to him, Hell is shaped like a sort of funnel and located under Jerusalem.
- Japanese netherworld used to be accesible via a cavern which was sealed shut by Izanagi after he escaped his deceased wife's wrath.
- The Mayans also believed the underworld was accessible via a certain cave.
- Diablo's titular archdemon ends up creating a physical hell from the dreams of the luckless prince Albrecht, it being a separate dimension originally. All the games have you heading into Hell at some point to carry out your mission — in Diablo II, you head there to destroy Diablo and undo the mistake of the hero of the first Diablo, while in Diablo III, you head there to close the rifts that are allowing Diablo's forces to invade Heaven.
- Dwarf Fortress: Yes, you can now dig to hell. Just don't expect to win when you arrive; hell has a population that is either in the billions or infinite, and some of the demons don't have organs, so you literally cannot kill them.
- As players have found out, using the dwarven way of acting completely insane, it's definitely possible to win the fight. And then colonize the place.
- Princess Maker 2 has a physical hell complete with its legions, though it appears to be under heavens jurisdiction.
- Hell terrain in the Civilization IV dark fantasy mod Fall from Heaven.
- Doom's entire plot revolves around the idea that teleportation experiments on Mars resulted in portals to hell itself, cue The Marine. Also, the Martians already did the same thing by accident long ago, sacrificed most of their civilisation to fix it and fled to Earth.
- Scribblenauts: Just as how you can summon schools and museums you can actually summon Hell. Interacting with it produces a demon. Physical Heaven also exists.
- Gensokyo, the setting of Touhou, used to have at least one of the many hells, the Hell of Blazing Fires, located beneath the ground. All you had to do was enter the cave known as the Dark Blowhole, pass over the forgotten bridge, and through the Palace of Earth Spirits. At some point though it was relocated and it's not exactly clear where.
- In Terraria, you can actually enter Hell (called the Underworld ingame) simply by digging down deep enough. In there you'll find demons, a wall of flesh, and bats. There's lava, fire, imps, lava slimes, hellbats, lava, fire, and lava. It's dangerous down there.
- Yet ironically much safer than the overworld once Hard Mode kicks in as unspeakable horrors once sealed in the form of the Wall of Flesh are released.