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- In many of the SOTF settings in general, it's been established that people tend to gloss over the deaths and view it as fun entertainment, or Troll family members with video clips. Bonus points if it's SOTF-TV, which has the backdrop of an Immoral Reality Show.
- This has become less true in the main versions over the years; it's now taken very seriously by the US government and people are actively trying to stop it, though with limited success. It's up to you which is worse: a universe where the murder of scores of teenagers is routine and fun, or one where a terrorist organization has been able to abduct innocents and force them to kill each other with only occasional slow downs for over a decade.
- The death of Damien Carter-Madison, whereupon he is swamped by the ghosts/zombies of all of his deceased classmates and dragged through a door into a realm which is strongly applied to be hell. The knowledge it is the hallucination of a dying teenager does little to comfort the reader.
- Most of Blood Boy's kills are heavy on the Torture Porn side, and prominently feature torture and sexual assault. These sequences are generally lengthy and quite graphic in detail.
- The character deaths of Guy Rapide and Mary McKay. Mary, the girl who got pregnant to Guy (who doesn't want anything to do with the kid), snaps, ties an unconscious Guy to a chair, saws halfway through one ankle and completely through the other, then saws through his penis, and then saws his neck off. And then eats the penis. Meanwhile, local crazy Wade Wilson arrives, and has hallucinations about a chestburster popping out of Mary's stomach. So he stabs her stomach repeatedly, and then wipes the unborn foetus, which got stuck to his knife, onto Guy's bloody torso. Read it all in its bloody, horrifying glory here.
- Sarah Atwell's descent into madness begins with her tying down and torturing Eve-Walker Luther, then stabbing her to death, bleeding out Miranda Merchant and carving the words 'selfish bitch' onto her chest, and rigging up a Jigsaw-like contraption onto Brock Mason involving pointing a sniper rifle at his own head, making sure that if he even moves he dies. He kills himself rather than take part.
- Bloodgarden. To elaborate, Liam "Brook" Brooks, a sweet, shy boy who likes gardening and has a fear of blood, witnesses his love interest die and gets broken a little too hard. he sets up a twisted "garden" decorated with the bodies of said love interest and other kids that he brutally murders, inflicts Cold-Blooded Torture on a girl who bullied him, and eventually has to be put down by his former best friend.
- Alex White's Cold-Blooded Torture against Rosa Fiametta. It's a lengthy, graphic sequence, with heavy sexual assault overtones. It was so bad that the post itself received a Content Warning.
- Summer Simms kills longtime rival Naomi Bell. What does she do afterwards? Not for the faint of heart: she slices open her stomach and begins eating her intestines. It's not pretty.
- Her entrance to the hotel and the destruction she unleashes once she's inside. Two people dying from a grenade she threw and her leg getting blown off, with Amaranta Montalvo killing her rather than have her bleed out from her wounds.
- Isabel Ramirez by herself can be a fountain of this. Word of God says she was intended to be a V3 style Sadist done right, and it shows. Almost all of her kills feature some sort of Gorn and/or Cold-Blooded Torture. Some examples:
- Isabel Ramirez's murder of Conrad Harrod. Impalement followed by flaying, accompanied by Isabel's mad yet tranquil mutterings all the while, makes for a rather gruesome scene.
- Another scene involving Isabel is Astrid Tate's death. Astrid is already blind in one eye due to a childhood accident, and Isabel accidentally puts out the other one with a sloppy attack. Astrid's horror at realizing that she is now completely blind and is as good as dead due to an accident is palpable.
- Her murder of Lucilly Peterson takes this one step beyond. Originally intending to let her go, a surprise attempt at her life by Lucilly causes Isabel to lose her temper and she then proceeds to disembowel her, even dragging her guts out with her bare hands just to make her last moments even more painful.
- Even her own death manages to be a mixture of this and an Awesome Moment. Several people with vendettas against her shoot, stab, tase, and generally mutilate her, until she's left screaming for mercy. Then Dorothy Shelley removes her head at the jaw, just to be absolutely certain she's dead. It makes one wonder...
- Tara Behzad's drawn-out, gruesome death. She spends several days starving herself and then attempts to crush her facial features flat in order to get her collar off. Upon realizing this is a doomed endeavor, she continues to bash her own head in, before immolating herself via a combination of flashbang grenades and a makeshift funeral pyre.
- The murder of Bridgette Sommerfield. A simple robbery by Cadeyn Miller goes awry when her victim suffers a seizure after a suprise attack, which freaks her out to a point that she proceeds to bludgeon and stab at her with a bottle til she bleeds to death from her injuries. The worst part is that Bridgette could still feel every cut and stab, but not move or do anything about it.
- The first death of Evolution has Billy-Jay Clarke looking right at the sun with his "ocular luminescence" (eyes that shine in the dark). It causes his power to overload and his eyes to melt out of his skull.
- For Evolution, some of the abilities can be fairly horrifying in a Body Horror sort of way if you think about them too hard. For example, Johnny Marsh has his skin become transparent, but everything else is still visible, making him look similar to an anatomical model. Now imagine that you wake up on a Deserted Island knowing that there are a bunch of potentially Ax-Crazy people about and looking like that under a scuba suit that you're now wearing. Or how about Taryn Gregory's power, whose blood crystallizes upon exposure to oxygen and can be used as knives. Aside from the idea of crystallizing blood, the concept of what happens during certain times of the month has been brought up and discussed by handlers. Or the ability where you can turn parts of your body to stone, but you can't change it back. There's a lot of Fridge Horror in Evolution overall.
- Kami Steele's death in Program V1 has her get blasted in the stomach with a shotgun at close range, and then gives a nice description of her guts spilling out.
- In Program v2 Louisa Bloom has a graphic Nightmare Sequence in her first in-game post, where she gets called out on her anti-American beliefs. Her punishment? Being forced to kill her classmates, friends, and family at gunpoint, until finally getting executed by her own mother. Even if it's just a dream, yeesh.
- The death of Nicole Husher in Second Chances. We're not told what happened, just that the results are not pretty.
- While not as overt as The Program or SOTF-TV, Virtua has some nightmarish elements in its lore. According to an in-universe document, side effects of playing the game include "moral, gender, sexuality dissonance, trauma, depression, stress, addiction, nausea, mental afflication, nightmares and tiredness." The Epilogue makes this aspect a little more clear: after the simulation is shut down, Rebecca Clark essentially has a mental breakdown when she realizes that everything she went through was part of someone else's entertainment, and that she's not even a teenage girl but a man. Her immediate reaction is to start harming herself. The death tag at the end, as well as the following post, heavily implies Rebecca is gone. The Epilogue ends with her player happily reminiscing about how life-like the game was, and how he'd bring a friend next time. There's the typical Downer Ending you'd expect from SOTF, and then there's... that.