* Even if you have already been spoiled on the truth about James in ''VideoGame/SilentHill2'' or picked up on the disturbing implications of the anvilicious foreshadowing, the inevitable reveal is still a kick in the gut. ([=L0rdVega=]'s [[http://www.youtube.com/watch?v=x_bjPakYti8&feature=PlayList&p=85F32E1CCBAF3343=33 Blind Playthrough]] is the perfect example of this. Listen to his muted "I knew it" at 3:12 and compare to how mercilessly he'd otherwise been mocking James' incompetence in other videos.)
** ''Silent Hill 2'' actually plays with this trope in several ways. In addition to what was described above, the game twists the knot on this trope with Maria, whose presence results in at least ''three'' {{Player Punch}}es -- and, in most cases a fourth, which you yourself must deliver. Alternatively, in the case of a particular ending, instead of Maria dying a fourth time, the player encounters his own wife, who is (sort of) alive and (completely) furious with you, and after you've spent the entire game ostensibly trying to find her, only to discover that you killed her yourself, ''you have to kill her again''.
*** And that's after you've had to kill Eddie. Though, granted, he wasn't very sympathetic, but Angela was, and you had to just watch as she walked away into hell. Having some actual people around just to make terrible things happen pretty much highlights what a twisted place Silent Hill is.
*** Then, of course, we have the "In Water" ending, where James commits suicide, and the full text of the letter from his wife (which was a posthumous note) was read by the VA... and we find out that ''she wanted him to live his life''.
** In ''VideoGame/SilentHill3'', Harry is killed specifically to piss off Heather (and by extension the player). Vincent's death is also a pretty powerful PlayerPunch, the charming [[SmugSnake bastard]].
*** Agentjr discovering Harry's body [[http://www.youtube.com/user/agentjr#p/c/D53EF790C7EB3627/18/pj7yT34YN0s in his playthrough]] is pretty much how most ''Silent Hill'' fans felt. The [[http://www.youtube.com/user/agentjr#p/c/D53EF790C7EB3627/19/afKOm8TauCE aftermath]] to the player punch is also very bitter.
*** The original ''Silent Hill'' also has Harry pushing away and running from a desperate and horrified Lisa Garland.
** The Good ending of ''VideoGame/SilentHill1'' delivers a huge PlayerPunch by [[spoiler:making you kill Cybil, only to later find out that the innocuous red liquid you picked up in the hospital and forgot about four hours ago could have saved her.]]
** The [[http://www.youtube.com/watch?v=akYdjHkleek Wicked and the Weak ending]] to ''Silent Hill: Shattered Memories''.
** The twist ending to ''VideoGame/SilentHillShatteredMemories'' reveals that [[spoiler:Cheryl was the protagonist all along,]] and that [[spoiler:Harry has been dead throughout the entire game.]]
** The endings of ''VideoGame/SilentHill4'' -- [[MultipleEndings all of them]] [[spoiler:except for "21 Sacraments", which is [[DownerEnding an entirely]] [[TheBadGuyWins different flavor]] of PlayerPunch]]. Walter falls to the ground, and as a pool of blood begins to surround him, he reaches one arm up into the air and simply says "Mom...?". After that, you're treated to another cutscene of younger Walter knocking on 302's door, asking to be let in, and suddenly stops, stands motionless for a second, and then crumples to the ground and disappears.
** In ''VideoGame/SilentHillHomecoming'', the player has to decide as to whether or not [[spoiler: MercyKill Alex Shepherd's mother while she's being slowly tortured to death by a death machine or allow her to suffer a CruelAndUnusualDeath. Either way she ''will'' die.]]
** In ''VideoGame/SilentHillDownpour'', Murphy Pendleton has the choice to either talk a man out of suicide or ''[[KickTheDog taunt him]]'' about doing it. [[spoiler: Either way, he dies.]]
* In ''VideoGame/DeadSpace'', you find multiple logs from Temple and Cross, two people who survived a while and are built up as quite sympathetic as you hear from them... but they're probably already dead. You find out they're ''not'', just in time for the evil MadScientist to brutally kill them while a security lockdown keeps you from doing anything but watching.
** Even worse: ''Nicole is dead.'' Sure, it was foreshadowed heavily, but finding out that Isaac's entire reason for being there, the one reason he kept going, had killed herself before he even arrived and the rest was all just a MindScrew kinda hurt.
** Hell, even Hammond's death. It's easy to go back and forth on him throughout the game -- is he a good guy, is he a backstabbing bastard like Kendra is saying? But that tends to fade after he puts his all into helping you get the ship back together and encourages you to keep going, and even nearly dies from toxin inhalation. Then you finally meet up with him again, only to watch him be viciously torn apart by a Brute.
*** The conclusion of the original trilogy. [[spoiler:You kill an EldritchAbomination in charge of the necromorphs, only to find out that he already woke up the other five.]] Cue Earth exploding right in front of Isaac.
* The original ''VideoGame/ResidentEvil'' and the [[FanNickname REmake]] has this with Richard. The original had him dying even if you got the serum for him in time, and in [=Remake=], he lives long enough to get eaten by either Yawn (Jill) or Neptune (Chris). Chris's scenario is the worst of the two, as you can actually watch over Richard while he sleeps.
** Even worse if, when playing Rebecca in Chris' story (when Chris is poisoned and needs serum), try to take a lot of time (say, ten minutes) to get the serum and come back. The cutscene speaks for itself.
** It doesn't stop there, though; if you try to be clever and just skip out on the fight against Yawn before killing it, you get a unique cut-scene in which Jill races through the door... and then Richard's ''death scream'' echoes out from behind you. Even if you immediately turn around and race back inside, it's no good. Also, doing this keeps you from retrieving the [[DiskOneNuke Auto-Shotgun]] you would have gotten if you'd stayed and fought, in a case of VideoGameCrueltyPunishment.
* In ''VideoGame/ResidentEvilCodeVeronica'', there's a romantic subplot taking place between Steve and Claire. Just when you think the two of them have [[EarnYourHappyEnding earned their happy ending,]] Steve is kidnapped and injected with the T-Veronica virus, causing him to mutate into a giant killing machine. The effects eventually wear off, but Steve dies shortly after, having just enough time to confess his love to a heartbroken Claire.
** It's arguably even more emotional in ''VideoGame/ResidentEvilTheDarksideChronicles'' due to superior storytelling, voice acting, and graphics.
* In the case of ''VideoGame/EternalDarkness'', maybe this could be called something along the lines of BrokeYourArmPunchingOutCthulhu [[PlayerPunch And Cthulhu Punched Back]], as eleven twelfths of the game take place within the chapters of a book of the fight against an EldritchAbomination God on the rise spanning history, each chapter focusing on a different character's efforts. Every one of these characters was a [[BadassNormal perfectly ordinary (essentially) and usually quite lovable person who just had to get mixed up in the whole thing]], often by being in the wrong place at the wrong time, and even though they usually strike a blow, it's at a dear cost. Say, life or sanity. Some of the hardest punches are when Ellia, a dancer seeking entertainment in a temple to Kali, finds out that the temple houses yet another EldritchAbomination God and is made to hold its essence -- which keeps her from dying even when she's killed for knowing too much, the last bit not something you know until another character over a thousand years later finds her remains and she passes it on to him and Anthony, a messenger for Charlemagne, gets blasted with a curse meant for Charlemagne that slowly turns him into a zombie and, long story short, by the time he gets to Charlemagne to tell him of impending treachery, he finds out he's too late and is left zombified, unable to die, and alone for centuries until the player, as yet another character, is forced to put him out of his misery themself. And he still whispers "Charlemaaagne!" and lets out this pathetic moan now and then, too. That Anthony is played by the wonderfully talented Cam Clark helps.
** The Lovecraftian themes of ''Eternal Darkness'' lend themselves well to the player punch as only four of the playable characters come out merely scarred for life with most of their mental faculties intact. For another example, there's Paul, the very sympathetic priest, who has to fight Anthony later as an enraged zombie. He prays for Anthony's soul afterwards which, although arguably futile given the Lovecraftian universe the game exists in, helps bring some closure to poor Anthony. Then what happens? You get to the end of the chapter and meet a giant... thing that either crushes him into paste or [[YourHeadASplode makes Paul's head pop like a balloon]] and there's not a damn thing you can do about it because it's a cutscene. Peter Jacobs gets to take that blasted monster down later, thankfully.
* ''VideoGame/{{Penumbra}}: Overture'' has the player crawling through a dark, crumbling mining complex filled to the (cracked) rafters with {{Eldritch Abomination}}s and once-living creatures, all the while being led by a seemingly kindred spirit known as "Red" who is clearly insane from isolation. However, he befriends the player in a one-sided way, and you'll likely get attached to him as well. However, in the final moments of the game, to open the door and move on, the player must incinerate poor Red, who is laying in an oven, to get the key to move on, as Red had been suffering alone for so long, and had convinced himself, in his madness that he could not take his own life, as "That was against the rules". The second you get your guts up to start the machine, he screams bloody murder. Cue MyGodWhatHaveIDone, HeroicBSOD on the PLAYER end, and ending it all with a TearJerker from being {{Player Punch}}ed so hard.
** It gets worse in the sequel, ''Black Plague''. There, you befriend Amabel, a scientist that needs your help to escape and find a cure for a virus that's going around... which, incidentally, infects ''you'' and results in [[HearingVoices Clarence's snarky comments echoing in your head]] for the rest of the game. But the topper is when you finally reach Amabel, and are greeted with an Infected instead, which you then have to kill by dropping a crate atop it... only for Clarence to say "Gotcha" and reveal that it was Amabel the whole time. The exact phrasing used in that scene can be found under NiceJobBreakingItHero in ''VideoGame/{{Penumbra}}'''s page.
*** Not to mention that any GenreSavvy player that kept their wits about them knew it was her, which only makes the PlayerPunch that much harder.
* ''VideoGame/TheWitchsHouse''
** Viola can quickly gain a companion in the form of a frog that is clearly attached to her. And she has to sacrifice him to a snake in order to advance. And ''then'' she meets the frog's tadpoles, who blame her for what occured.
** Just before the final showdown with the witch, Viola finds the corpse of the black cat that has been following her throughout the game. [[spoiler:Lessened when one of the endings reveals it's possessed by a strong demon that survives.]]
** And the biggest player punch of all: [[spoiler:The True Ending. It turns out that Viola and the Witch had ''already traded bodies'' before the game began! So, all this time, the player has been controlling the evil Witch, Ellen, in Viola's body. While Viola is trapped in the Witch's mutilated body. And you realize that Viola's father shot his own daughter, while taking the Witch home.]]
* If you're at all familiar with the basic plot of ''VideoGame/TheLastOfUs'', you can probably guess that [[spoiler: Joel's daughter Sarah]] is doomed. That doesn't make it easier to take when [[spoiler: she's fatally wounded]], especially as Joel, on the verge of tears, tries his hardest to [[{{Tearjerker}} stop the inevitable]].
* In VideoGame/TheWalkingDead has the choice to either save Carely or Doug, they can only save one while the other dies. Then they have to choice of either letting Kenny kill Duck or do it themselves.
** But the classic form of this trope, with your adorable companion having to be killed, is [[InvertedTrope inverted]]. [[FromBadToWorse This]] [[DownerEnding is]] [[DespairEventHorizon worse]]. It puts the final nail in the coffin of [[BrokenBird Clem]]'s innocence.
** By far the harshest punch to the player's balls is [[spoiler:Lee and Clem together before Lee's death. It would be painful enough to sit through, but not only do you ''pick Lee's final words to the heartbroken girl'', you're forced to choose if Lee becomes a walker or if '''Clem [[MercyKill spares him that fate]]'''.]]
** The game's second season takes it UpToEleven by forcing the player to decide [[spoiler: [[SadisticChoice who to kill]] in the finale.]] There is no third option. You ''have to'' decide.
* In ''VideoGame/AmnesiaAMachineForPigs'' the entire premise of the game is to rescue the protagonist's young children from the depths of the nightmarish machine which spends the game vomiting manpig abominations to tear you to shreds. Two thirds in you finally reach where your children are supposedly imprisoned...[[spoiler: only to find out they were never there, and were in fact murdered by the protagonist long beforehand to save them from dying in agony in World War I, and in getting to the machine you have merely helped it release an army of monsters to butcher London's population.]]