This is based on opinion. Please don't list it on a work's trope example list.
Nightmare Fuel / Tales of the Abyss
Normally, Guy Cecil's gynophobia is funny. Then you find out what caused this fear. When he was a child, Duke Fabre attempted to commit genocide against his family. His older sister and the maids of the house sacrificed themselves to protect him. He wound up buried under their bodies for days on end.
The horrifically brutal death of the boy John after the fall of Akzeriuth as he sinks while buried under his father's corpse may very well be the single most terrifying event in the entire Tales franchise. Neither the player nor the party can save him.
Worse still, when evacuating Engeve, you meet with the boy's mother.
Later on in Shurrey Hill, you eventually get to fight monsters called Darks, a blob of purpleish mass and with a base of dirt. Then it likely comes to fruition that they're possibly the spirits or remaining flesh and living remains of things and horrifyingly melded with the toxic mass of the Qliphoth's sea.
The pivotal point of Jade's backstory: his experiments with fonic artes as a child caused an accident that left his mentor on the verge of death. He tried to use fomicry, a technology he created himself, to bring her back to life as a "clone". She came back...but as a murderous, bloodthirsty monster. Since replicas are always born as blank slates, she has no recollection of her previous life except looking exactly like the deceased.
Grand Maestro Mohs is turned into a freakish monster because of inability to control Seventh Fonons, causing sanity degeneration. Upon defeating him, he melts into goo and disintegrates.
The miasma is a deadly poison that comes from the core of the planet. Breathing it in for too long will kill you, and can consume entire continents with enough time. The party sees it early on in Fubras River, but later in the game they end up in the Qliphoth, which consists of an ominous purple sky, landmasses very far and few between, surrounded by a seemingly endless sea of mud and miasma.
The process cleansing of the miasma basically involves a mass suicide of replicas with Luke's words sounding half Survival Mantra, half Madness Mantra.
Luke: I don't want to die! I don't want to die! I don't want to die! I don't want to die!
The whole of Luke's story and the end result is this when you take into account the fact that, as a replica, he's only seven years old and he go through so much crap and ultimately dies in the end.