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Nightmare Fuel: Dragon Age II
Leandra's death. She's killed by Quentin, a demented blood mage, so he can use her head to reconstruct his dead wife using parts from other women he's killed. If Hawke hadn't killed Quentin, then she would have been aware of what he was doing to her for the rest of his life, completely unable to do a thing about it.
Not only that, but the first of his notes about his wife just sound...wrong. He really doesn't seem to be focused on her as a person.
Replaying the game after finding out the identity of O might never make you look at Orsino the same way again. Granted, the letter is implied to be from before he found out about the particular brand of deranged Quentin is, but even when he speaks regretfully of his actions (...before turning into a Harvester...), it's completely not to the point he should be, and in part because of that and because of the note's general amicability, it still comes off as pure Fridge Horror.
The little tidbit in "Alone" that will simultaneously want to make you grab the Brain Bleach, kill Danarius in the most brutal fashion possible and make even the most ardent Fenris hater feel bad for him.
Danarius: Do I detect a hint of jealousy? It's not surprising. The lad is quite skilled isn't he?
Danarius' voice. There is no doubt in this man's mind that all he's done and all he's doing is perfectly acceptable, no, worse, that it's right. If you hand Fenris over, the letter makes it clear that he thinks that the mindwiped!Fenris is happier and better off that way. He even invites you to come and visit sometime.
Word of God has confirmed that implication to be canon.
It's even more disturbing, considering that Fenris admitted that as a result of his mindwhipe and mental conditioning, his main priority as a slave was to maintain Danarius' approval. Consider the dawning horror he would have felt upon reflection on all the things he'd done and had done without ever questioning them.
The music that plays when you have only one wounded party member left alive.
In the Anders companion quest "Dissent," you learn about Ser Alrik, who wants to use the Rite of Tranquility on all mages. What makes this even worse is that when you get to the scene where he threatens a young mage woman, it's heavily implied he's doing so to effectively make Tranquil women his sex slaves! To add in some Fridge Horror, consider that the Templars with him might be in on the whole thing. And finally this quest shows how badly out of control Anders/Justice is becoming, turning into Vengeance. One of your companions is losing control and can potentially murder an innocent girl.
And if you go to the Gallows during Act II, you will get to hear a human female Tranquil talking to her former lover. She tells them that she belongs to Ser Alrik now.
The Varric companion quest "Family Matter," his brother Bartrand has gone insane and has been performing horrific experiments on people, driving his guards mad as well and rigging the place with traps. Not to mention the Lyrium idol is gone, and is now in Meredith's possession. It turns to tearjerker territory if you bring Anders along and temporarily make Bartrand lucid, showing how much its influence has destroyed him.
Really, the idol itself deserves a mention. It drives people insane and is one of the causes of the Mage-Templar War. This is the reason that, when Cassandra tells Varric that the Champion "must have known what was down there," he responds the way he does.
Varric: No. None of us knew. If we had, this all would have turned out very differently.
In the Poisoned side alley there is an insane elven woman that screams something about something "sharp and shiny". The way she says shiny is really disturbing.
The exact quote is, "Baby. Come to Mother. Something sharp and shiny!" which implies that she stabbed a child (her child?) and is like nine kinds of nightmare and nausea fuel.
The Bone Pit is generally a creepy place, particularly once you learn of the abuses that the Tevinter slave masters carried out there. What little music there is, is unsettling, and the sounds of animals fighting or howling somewhere in the distance doesn't help.
And even the information you are given about the Pit is only really bits and pieces, just enough for you to start filling in the blanks with your own imagination. And then you realize that what you thought were just heaps of scree and slag at the bottom of the pit are actually piles and piles of bones...
If you've followed all the Enigmas of Kirkwall through all the acts, you'll be blessed with the pleasure of finding out this interesting fact: Kirkwall was turned by the Imperium into a gigantic blood sacrifice ritual, causing such problems as failed Harrowings, constant problems with blood mages, people getting lost and a Veil so weak that demons could come in easily enough and in such numbers that they hunt down normal people because there's too much competition to get to the mages. Why is this? The Tevinters wanted the Veil weakened by the thousands of slave sacrifices to try and summon the Forbidden Ones, ancient powerful demons that taught the people how to use blood magic in the first place! How bad are they? In Origins, you faced one as a bonus boss - Gaxkang the Unbound. In Dragon Age II, you face one of them, the bonus boss of Acts II Xenbenkeck. And the worst part? According to the codex, there's two left, Imshael and The Formless One. Not to neglect the special neighbor in the Vimmark Mountains, Corypheus, one of the Tevinter Magisters of old that tried to storm the Golden City and became one of the first darkspawn!
Playing as a character who loses one sibling to death, potentially another to death, kidnapping, or betrayal, and a mother to horrific murder, watches friends suffer awful tragedies or slowly lose their minds, and is potentially used by a lover as an unwitting accomplice in a terrorist attack, if you romanced Anders makes Dragon Age II a goldmine of Adult Fear.
Huon's power-up scene, where he whispers under his breath about the power of blood magic as his skin grows pale and large blood spots appear all over his face. He's basically a shining example of the evil maleficar that the Chantry makes every blood mage out to be.
The final battle. The Templars have been ordered to slaughter every Circle mage, despite the fact they're innocent of any wrongdoing. And suddenly Hawke faces the choice between a group of well-meaning guardians most of whom genuinely believe they're protecting the city and a group of terrified mages half of whom are about to make themselves into monsters just to try to survive. One of these groups is going to get slaughtered, and it's up to him to decide who it will be. The worst part is that Hawke has absolutely no chance to influence the terms of battle or keep relative innocents out of harm's way, so even if you wanted a war, this probably wasn't what you had in mind.
Meeting the monstrous spider for the first time during the Deep Roads expedition can't be fun for arachnophobes. And if you have a fear of scorpions or other crawly spiky things, say hello to the Varterral◊!
Poor Feynriel—thanks to his powers as a somniari, he gets horrifying nightmares of demons, all of which are real and very much out to get him. His mother is helpless to do anything, his father walked out on them, the Templars are hunting him down, and he gets caught by slavers when he tries to run away. If Hawke saves him he heads off to the Dalish—but he's alone without friends or family, nobody trusts him and the elders are afraid of him, and then his nightmares get even worse and he finds himself trapped in the Fade and facing powerful demons. Hawke's choices can help him get better in the end, but wow.
Even if Hawke helps him and he gets a badass upgrade, it carries some heavy Nightmare Fuel. In Act III, Hawke is tasked with tracking down a kidnapped girl on the Wounded Coast, only to find her safe with all the kidnappers dead. Turns out that Feynriel massacred the entire group when they tried to rape her, through the Fade, with his physical body residing in Tevinter... which is located on the other side of Thedas!
Not to mention the fact that the girl he saved is now somewhat creepily obsessed with him. Is that a coincidence? Or did Feynriel — intentionally or otherwise — cause her to fall in love with him?
If you go to a certain spot in the Gallows, you can hear the echoing, disembodied sounds of someone being beaten...
There's a lot of nasty implications in the background sounds, and the lines by templars, mages, and Tranquil hanging around the Gallows if you listen closely.
Jaken: I’ve been searching for you everywhere. You weren’t in your rooms, the libraries…