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Nightmare Fuel: The Witch's House
Cutting the limbs off a teddy bear and having the stumps bleed like a living creature is pretty creepy. Not to mention what happens shortly afterwards when the bear gets its revenge...
Early on, Viola finds a kitchen where an invisible chef is working. He/she takes Viola's offer of 'a hand' a bit too literally and then presumably hacks the rest of her to bits too.
It gets worse. Later she can go through an adjoining door into the pantry. A pantry full of human skeletons, none of which have hands...
Many of the potential deaths that can claim the player count. Whether it's being eaten by a giant snake, trapped in a tiny room and crushed to death by a giant boulder, decapitated by a giant spider...
The house and its inhabitants tend to move around a lot, often just out of the player's field of vision or when Viola leaves or enters a room. Creepy every time it happens.
The fragments of the witch's diary scattered throughout the house are pretty chilling.
The dark maze on the top floor is scary enough on its own, then you drop and break your only light.
As much of a woobie as she is, Viola in Ellen's body is still terrifying. Particularly when she's chasing you.
Just the whole idea of being trapped in a house where everything's trying to kill you with no way out and no way forward but towards the one who presumably created and controls it all.
The novel reveals that all the monsters in the house, are people killed by Ellen in the past. Since Ellen in Viola's body is powerless now, it's no surprise that the monsters want their revenge.