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Hell on Earth - Horror Mod is a mod for Fallout: New Vegas which premise could be described as Fallout: New Vegas meets Silent Hill. It includes an optional plugin which adds the Otherworld/Nightmare Realm, a horrific version of some areas of the Vanilla game.

Unrelated with the Hell on Earth trope or Doom II: Hell on Earth. It's also not related to the Deadlands game with the same name, despite both being post-apocalyptic horror.

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  • After the End: ... Except it's an apocalypse triggered by a scientific experiment instead of a nuclear war.
  • Crapsack World: It's a post-apocalyptic world merging with its dark world, full of monsters, and various thugs.
  • Cult: An optional plugin turns the Legion into dangerous frightening cultists from the Otherworld, by changing their outfits.
  • Dark World: The Otherworld/Nightmare Realm, which is entered and left through one way portals. The places having an Otherworld entrance are Novac, Camp Searchlight, and The Strip.
  • Genre Shift: Turns the game into a Survival Horror.
  • Hell Is That Noise: You’re hinted you’re getting near an Otherworld entrance when you start hearing a siren sound.
  • Ominous Fog: According to the mod’s backstory, one appeared after the experiment which opened the Otherworld. In proper game, such a fog only appears if you install the optional mod Nevada Skies
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  • Survival Horror: Not only it has the atmosphere and scenario of one, but it also contains optional plugins which make the interiors darker and reduce the amount of ammunitions you can find.
  • What If?: In the mod’s backstory, the nuclear war of 2077 has been replaced by a disaster in which experiments about interdimensional travels caused the discovery of a Dark World which slowly merged with our own dimension.

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