Nightmare Fuel / Rumbling Hearts

  • In the original PC version of the games, Manami's ending involves the kidnapping and torturing of Takayuki. She dresses him up in girl clothes, sodomizes him, urinates on him while forcing him to undergo gender reassignment surgeries. In PS2 port, this ending gets subjected to Bleached Underpants, and a completely new Good Ending is also added for the character.

http://tvtropes.org/pmwiki/pmwiki.php/NightmareFuel/RumblingHearts