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** If you're on board with the common interpretation that [[spoiler: the entire movie is Jacob's DyingDream after being gutted by drugged fellow servicemen in Vietnam]] then the meaning of this scene is harrowing: [[spoiler: Jacob is feeling the army medics stuff his damaged, dying and oh-so-cold guts back into his body. Most organs within the chest cavity have an extremely low tolerance for temperature change compared to the extremities; a change of just a few degrees will cause them to begin to die.]] It's hard to imagine what this might feel like, but a horrific icy feeling throughout the body right down to one's core is not a bad guess.
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** When Jacob opens the fridge to grab a drink, there's a plastic-wrapped lamb skull.

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** When Jacob opens the fridge to grab a drink, there's a plastic-wrapped sandwich that looks like a lamb skull.
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** When Jacob opens the fridge to grab a drink, there's a plastic-wrapped sandwich that looks ''exactly'' like a dessicated lamb skull.

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** When Jacob opens the fridge to grab a drink, there's a plastic-wrapped sandwich that looks ''exactly'' like a dessicated lamb skull.
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* The film is also a master of "Uh, did I just see that?" moments.
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** There are actually two symmetrical bone growths on her head, which look like teratomas or... stumps of sawed off horns.

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** There are actually two symmetrical bone growths on her head, which look rather like teratomas or... stumps of sawed off horns.

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* The nurse with the bone sticking out her head. Ew.

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* The nurse with the bone sticking out of her head. Ew.Ew.
** There are actually two symmetrical bone growths on her head, which look like teratomas or... stumps of sawed off horns.
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** Also in this same act, Jacob has his palm read for a fortune-telling, and the teller brutally honest about Jacob's current state of affairs. [[spoiler: "No it's not funny, see according to this, you're already dead..."]]

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** Also in this same act, Jacob has his palm read for a fortune-telling, and the teller is brutally honest about Jacob's current state of affairs. [[spoiler: "No it's not funny, see according to this, you're already dead..."]]
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** Also in this same act, Jacob has his palm read for a fortune-telling, and the teller brutally honest about Jacob's current state of affairs [[spoiler: "No it's not funny, see according to this, you're already dead..."]]

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** Also in this same act, Jacob has his palm read for a fortune-telling, and the teller brutally honest about Jacob's current state of affairs affairs. [[spoiler: "No it's not funny, see according to this, you're already dead..."]]
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** Also in this same act, Jacob has his palm read for a fortune-telling, and the teller brutally honest about Jacob's current state of affairs [[spoiler: "No it's not funny, see according to this, you're already dead..."]]
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** The sequence after his subsequent dreams, in which Jez is chewing him out for not getting out of the apartment; after several shots where her face being split by the panels of a mirror manages to be unnerving, she yells in his face out of frustration; here, her eyes are black, and her teeth look considerably more threatening than before.
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* The various expressions of BodyHorror throughout the movie It combines the unsettling paranoia that what you're seeing couldn't be real with the equally unsettling realization that it clearly ''is'' real, but you're the only one who thinks it's anything out of the ordinary.

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* The various expressions of BodyHorror throughout the movie It combines combine the unsettling paranoia that what you're seeing couldn't be real with the equally unsettling realization that it clearly ''is'' real, but you're the only one who thinks it's anything out of the ordinary.
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* We could just say " This entire goddamn film " but we wouldn't be accurate enough. We should instead elaborate on all of the creepy moments this movie has to offer below, shall we not ?

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* We could just say " This "This entire goddamn film " film" but we wouldn't be accurate enough. accurate. We should instead elaborate on all of the creepy moments this movie has to offer below, shall we not ?we?
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* Jacob's ice bath. He has severe chills and feels frozen due to a fever above 106 degrees[[note]]98.6 degrees Fahrenheit is the "normal" body temp, for those on Metric[[/note]], but is forced to go naked into a bathtub filled with cold water, and ice cubes constantly put into it.

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* Jacob's ice bath. He has severe chills and feels frozen due to a fever above 106 degrees[[note]]98.6 degrees Fahrenheit is the "normal" body temp, for those on Metric[[/note]], but is forced to go naked into a bathtub filled with cold water, water and ice cubes constantly put into it.cubes.
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* Jacob's ice bath. He has severe chills and feels frozen, but is forced to go naked into a bathtub filled with cold water, and ice cubes constantly put into it.

to:

* Jacob's ice bath. He has severe chills and feels frozen, frozen due to a fever above 106 degrees[[note]]98.6 degrees Fahrenheit is the "normal" body temp, for those on Metric[[/note]], but is forced to go naked into a bathtub filled with cold water, and ice cubes constantly put into it.
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* The hospital sequence. Jacob is strapped to a gurney being wheeled through an increasingly more dilapidated hospital corridor, passing by random headshaking demons, until he gets to his destination and a doctorish spectre with no eyes (or eye sockets) looms over him with a hypodermic syringe, and Jacob is helpless to escape as the spectre goes to stab him with it. It's pretty much every hospital nightmare rolled into a single surreal sequence.

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* The hospital sequence. Jacob is strapped to a gurney being wheeled through an increasingly more dilapidated hospital corridor, passing by discarded body parts and random headshaking demons, until he gets to his destination and a doctorish spectre with no eyes (or eye sockets) looms over him with a hypodermic syringe, and Jacob is helpless to escape as the spectre goes to stab him with it. It's pretty much every hospital nightmare rolled into a single surreal sequence.
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* We could just say " This entire goddamn film " but we wouldn't be accurate enough. We should instead elaborate on all of the creepy moments this movie has to offer below, shall we not ?
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Added DiffLines:

* The various expressions of BodyHorror throughout the movie It combines the unsettling paranoia that what you're seeing couldn't be real with the equally unsettling realization that it clearly ''is'' real, but you're the only one who thinks it's anything out of the ordinary.
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* Jezzie's "dance with the devil" [[spoiler: culminating with the JumpScare at the end.]]
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[[quoteright:350:http://static.tvtropes.org/pmwiki/pub/images/eyeless1_1151.jpg]]
[[caption-width-right:350:Time for your daily injection of NightmareFuel.]]
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** The shot of the soldier stumbling around with only a flap of skin holding his leg on. {{Squick}}.
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* If you've ever been scared by that effect where a character's head twitches uncontrollably, Jacob's Ladder has inadvertently gotten its Nightmare Fuel on you. They pioneered the effect, and it's been ripped off literally ''dozens'' of times since, to varying degrees of effectiveness.

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* If you've ever been scared by that effect where a character's head twitches uncontrollably, Jacob's Ladder has inadvertently gotten its Nightmare Fuel on you. They pioneered the effect, and it's been ripped off used literally ''dozens'' of times since, to varying degrees of effectiveness.
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* The DeletedScene in which Michael "cures" Jacob, and what seems to be the FinalBoss attacks - if you get the parallel that this is a rapist trying to get at its helpless victim again, you're spot on.
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** When Jacob opens the fridge to grab a drink, there's a plastic-wrapped sandwich that looks ''exactly'' like a dessicated lamb skull.
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* This entire goddamn film.

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* This entire goddamn film.
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* If you've ever been subject to frightening hallucinations you'll rarely see a film that captures their atmosphere better than this one. The worst part is the notion that your own mind and your senses are betraying you and cannot be trusted. Your senses are your only filter for the world, and if they go haywire you've literally got nothing.
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* Jacob's ice bath. He has severe chills and feels frozen, but is forced to go naked into a bathtub filled with cold water, and ice cubes constantly put into it.
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** It should be noted the effect even made it into the ''HarryPotter'' films in ''HarryPotterAndTheOrderOfThePhoenix''. Voldemort is seen doing it a few times while [[MindRape Mind Raping]] Harry. It is quite scary, and definitely counts as HONF.

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** It should be noted the effect even made it into the ''HarryPotter'' ''Franchise/HarryPotter'' films in ''HarryPotterAndTheOrderOfThePhoenix''.''Literature/HarryPotterAndTheOrderOfThePhoenix''. Voldemort is seen doing it a few times while [[MindRape Mind Raping]] Harry. It is quite scary, and definitely counts as HONF.
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** So petrifying was this sequence, that it inspired the creation of the DarkWorld in the ''SilentHill'' series. Interestingly, [[spoiler:by the end you learn that all those horrible things were just trying to help.]]

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** So petrifying was this sequence, that it inspired the creation of the DarkWorld in the ''SilentHill'' ''Franchise/SilentHill'' series. Interestingly, [[spoiler:by the end you learn that all those horrible things were just trying to help.]]
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* [[{{HighOctaneNightmareFuel}} High Octane Nightmare Fuel]]: This entire goddamn film.

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* [[{{HighOctaneNightmareFuel}} High Octane Nightmare Fuel]]: This entire goddamn film.
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* [[{{HighOctaneNightmareFuel}} High Octane Nightmare Fuel]]: This entire goddamn film.
* Among (many) other things, the opening subway sequence manages to touch on pretty much every single irrational fear a lot of New Yorkers harbor about the transit system.
* On a more reality-based note, the prospect of being gravely wounded during the Vietnam War, in the middle of hostile territory, with only a medic tent between you and oblivion.
* The scene at the party where Jez is either dancing with or getting molested by some sort of black tentacle. Which nobody else seems to notice.
** Even creepier are the extremely brief shots of some sort of wings and teeth you see throughout the scene.
* The hospital sequence. Jacob is strapped to a gurney being wheeled through an increasingly more dilapidated hospital corridor, passing by random headshaking demons, until he gets to his destination and a doctorish spectre with no eyes (or eye sockets) looms over him with a hypodermic syringe, and Jacob is helpless to escape as the spectre goes to stab him with it. It's pretty much every hospital nightmare rolled into a single surreal sequence.
** So petrifying was this sequence, that it inspired the creation of the DarkWorld in the ''SilentHill'' series. Interestingly, [[spoiler:by the end you learn that all those horrible things were just trying to help.]]
* The idea that you can just be living a normal, uneventful life and all of a sudden you're in the middle of pure horror.
* There's also a scene where Jacob is hiding in a public toilet and a tissue is pushed through a glory hole at him, and "Dream on" is said again in the same way, but this was cut and can only be seen in the deleted scenes on the DVD.
* If you've ever been scared by that effect where a character's head twitches uncontrollably, Jacob's Ladder has inadvertently gotten its Nightmare Fuel on you. They pioneered the effect, and it's been ripped off literally ''dozens'' of times since, to varying degrees of effectiveness.
** It should be noted the effect even made it into the ''HarryPotter'' films in ''HarryPotterAndTheOrderOfThePhoenix''. Voldemort is seen doing it a few times while [[MindRape Mind Raping]] Harry. It is quite scary, and definitely counts as HONF.
* The nurse with the bone sticking out her head. Ew.
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