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Nightmare Fuel: Tomb Raider 2013
The entirety of the game has you trapped on an island full of insane, monstrous cultists that want to do horrible things to you and your allies.
The island is peppered with hundreds of sacrificed women still strung up in the shrines they were burned in.
The entire atmosphere of the first hour or so of gameplay is oppressively nightmarish, with insane cultists hunting Lara down through an unforgiving terrain that wants to keep them trapped on the island forever.
A scene that acts as a shout out to Apocalypse Now has Lara escape capture by jumping into a standing pool of human blood. As in completely submerged in it from head to toe. While she has open wounds, the most prominent of which being the gaping hole in her torso from being impaled at the beginning of the game. It doesn't help that this leads Lara into The Pit...
The "unholy ones" in the Pit. The sheer insanity they show with every word is unnerving in the extreme.
One QTE involves Lara sliding to avoid sharp sticks jutting out of a rapidly-moving river. If you fail, Lara gets gored through the throat. When Conan O'Brien tried this on his show, he failed repeatedly, leading to having to see the scene over and over again...with the audience clearly horrified each time.
The wolves that are sprinkled throughout the island that can leap out at you. In some cases, they'll leap at you in slow motion and if you're not able to put them down with a well-placed arrow, they will rip out your throat and break your neck.
There's one section in the game that finds Lara in a dark area that is littered with the various rotting remains of humans, blood splattered all over the walls.
There's also the reason why they are there in the first place. They are the tablescraps of an oni.
An early section of the game finds you fleeing from a deranged madman. If you're not able to get away from him, a large boulder will fall upon your legs, followed by another crushing your head.
The man himself is pretty damn creepy as well. He's not a whooping and hollering maniac. The way he speaks seems to indicate he wants to help you. Unfortunately, he wants to "help" you by sinking a climber's axe into your chest.
"Shhh... It will be over soon."
Really, the fact that the deaths are so startlingly brutal compared to the previous games.
It's not so much that they're more brutal, it's that Lara now looks photorealistic as opposed to more of an exaggerated cartoony type.
They also aren't anything you wouldn't find in a Dead Space game. Which really says it all right there: a Cosmic Horror game would be comfortable using the death scenes from this installment.
Towards the end of the game Lara must sneak past The entire Stormguard Army. The creepy chanting, inhuman roars and the painful consequences of being detected makes this encounter rather unnerving.
The No-Holds-Barred Beatdown that Lara receives midway through the game, is probably one of the most brutal depictions of the trope in recent gaming memory.
During Lara's first encounter with The Stormguard, she is captured and suspended in a chamber full of corpses and body parts. Once she manages to free herself, she starts crawling through a tunnel when The Oni Stalker enters the room. If Lara tries to go back into the previous chamber, then a scene is triggered where she is detected and smashed into a bloody pulp.
In the game, you can find two artifacts. These artifacts are toys. Yes, toys, and they belonged to two little girls: Coco and Millie. This alone is pretty horrifying in its own right. But then you remember what the Solarii normally do with girls on the island.
The part with Lara climbing the old, rusty ladders of the radio tower is an absolute nightmare for those who are afraid of heights.