Nightmare Retardant: Not the mod itself, which managed to make Houndeyes terrifying. In SvenCoop, it's a popular server, but obviously, having a buddy with you mowing down hordes of twitchzombies lessens the impact a bit. The official server works to make this less effective (players are often split up and cannot speak to each other unless near each other, they bleed out when on low health, and ammo and weapons are as scarce as ever), but the snark of your fellow teammates and your laughs at their anguished screams kinda dumb it down a bit.
Originaly, there was supposed to be zombies with big white eyes. They did not look frightening as much as weird, and were cut.
The song in the game files labelled "shootrob" uses a similar Heartbeat Soundtrack with low growling in the background. Use an external program to speed it up and it sounds like, presumably, Andreas Ronnberg going "waowaowaowoowaowaowao."
Porting Disaster: The SvenCoop port of the original. Not the Director's Cut well ported by Cocyx but the original mod that was ported over by someone else, the unique weapon models aren't there and unfitting, the skybox clashes with the lighting color and after turning off the power to open the power lock door, the additionally spawned enemies don't do anything and can't even be killed, to the point that one of them blocks the way out, thus making it Unwinnable without admin commands. Even more unwinnable situations can occur such as the gate that comes down past the turnstiles in the subway will block respawning players, something Cocyx avoided in his DC port.
Real Song Theme Tune: The game uses various tracks of Aphex Twin, the majority of which are from one of his most acclaimed albums, "Selected Ambient Works Volume II". In fact, in the first 10 minutes of the game you can hear 4 tracks of the same album in a row - Stone In Focus (Main Menu), Hankie (Intro), Cliffs (before blackout) and Tree (after blackout).
Also, the beginning of the City level you'll hear Spots (after leaving the apartment blocks near the hospital) and Rhubarb (in the 4th ending, albeit edited).
That One Level: The Hospital after the blackout. People tend to quit playing the game when they get lost too much.