!!The Movie
* The Grim Reaper spirit. His ''modus operandi'' of carving numbers into his victims' heads. He can also "''[[DeaderThanDead kill]]''" other spirits.
** There's also his traveling through walls, floors, and carpets.
** His second scene has him coming out of a mirror with an unholy screech, reaching into a man's chest, and squeezing the life out of his heart, killing him.
** As Frank, The Judge, Stuart, and Cyrus pursue the creature as it flees, it finally stops to face Frank's oncoming car, then proceeds to charge straight through the vehicle and its driver, at which point we get a glimpse of its face. [[NightmareFace It isn't a pretty sight]].
** Imagine you're one of the Reaper's victims. You're perfectly healthy and just minding your business when, suddenly, you get a horrible pain in your chest, like someone...or ''something''...is crushing the life right out of your heart, to paraphrase Sheriff Perry. And you have no idea what the hell is going on. And worse, unless [[ISeeDeadPeople you're a psychic like Frank]], you can't see that some dark, evil thing--actually [[spoiler:the depraved spirit of a SerialKiller]]--is directly causing your heart attack. Seriously, it's ParanoiaFuel at its finest.
* All the scars on Dammers' torso. Just imagine the pain he went through to help the government take down cults. Including having both nipples seemingly burned off. He directly mentions [[ThePowerOfBlood drinking goat's blood]], [[ImAHumanitarian ritualistic cannibalism]], and [[BondageIsBad sadistic sexual orgies]]. All for his country.
* The [[AndIMustScream implications]] of a spirit missing both chances to move on. You are stuck in this plane of existence until you just fall apart. The Judge has been around for quite a while, and showed no signs he was about to [[IncrediblyLamePun give up the ghost]] anytime soon. And if no one around has had near-death trauma, then the only people who can hear you are other ghosts, who are equally stranded.
** Since [[spoiler:Bartlett is able to follow Frank and Patricia]] when they go through the tunnel, it seems that you can hitch a ride on another spirit's ascension. [[FridgeBrilliance Which may explain]] why places like hospitals often seem haunted. It's like a bus station for ghosts; they're just waiting around for the next ride out of town.
* The finale in which Frank and Lucy have to evade [[spoiler:Patricia, who's armed with a shotgun]] as Frank constantly shifts between the present and the past hospital, bearing witness to the horrible massacre that happened many years ago, often from the perspective of the people being slaughtered.
* An example from the DirectorsCut that crosses over with {{Squick}}. [[spoiler:Frank experiences a scene where Johnny and Patricia are playing around in the morgue, and start making love on an examination table, Patricia's foot dipping into a scale filled with some corpse's innards. ''Gross''.]]
* "I'm in the mood for vivisection!" "Me too! Me too!" (they're referring to vivisection with a ''pick ax''!)
* The final fate of [[spoiler:Johnny and Patricia]], while deserved, is still pretty gruesome. [[spoiler:The tunnel of light they are using to return to Earth while [[EvilGloating gloating about all they are going to do back on the living world]] suddenly turns into [[BloodyBowelsOfHell a very womb-like tunnel]], then snake-like protuberances come out of the wall to bind and go through both ghosts until the tunnel closes, revealing it to be an infernal snake that then [[DraggedOffToHell takes them into Hell]].]] "This isn't going to be pleasant", indeed.

!!Meta/Other
* The menu screen for the DirectorsCut has the Grim Reaper ''[[TheFourthWallWillNotProtectYou coming right at the screen towards you]]''! All the while it makes [[HellIsThatNoise that god-awful screech of his]]. [[SarcasmMode Sweet dreams]]!
* The behind-the-scenes feature on the DirectorsCut shows some pieces of concept art of the Grim Reaper, one of which [[ParanoiaFuel shows the thing standing behind a young woman seated in a chair]].
* Michael Jahn's {{novelization}} somehow manages to add to the creepiness, even if it is based on an early draft of the script.
** The Reaper has the habit of whispering "[[BondOneLiner Don't fear the reaper]]" to its victims as it kills them.
** Hell, the blurb on the back is absolutely chilling:
--->''Forty years ago, he stalked the streets of Fairwater. A dark, hooded figure who claimed the lives of twelve people. Now he is back for more.''
--->''[[ParanoiaFuel He enters your home. He lives in your walls. He's after your soul.]] Because he is the Grim Reaper. And nothing ''alive'' can stop him.''
--->''That's why the folks of Fairwater have enlisted the help of The Frighteners. They're more than supernatural experts--they're the best ghost-hunting team in the business. Because they're already dead...''
** Even '''more''' ParanoiaFuel:
--->''And where was this Reaper? What if he showed up now, before [[spoiler:Frank]] had his out-of-body experience? The creature seemed able to go anywhere--inside walls, even into the floor of the jail. What if it were lurking in the walls of the medical center? What if it were in the walls of the cryolab itself?''
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