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The most common form of this trope is for the character to hallucinate blood on their hands. This comes from the common saying in the English language "their blood is on your hands," used to tell someone that another's death is their fault. The blood of the dead and the subsequent responsibility and guilt for killing them/getting them killed is metaphorically likened to the victim's blood staining their hands. Note that there's a difference between metaphorically feeling like there's blood on your hands and actually hallucinating that there is blood on your hands; the former falls under TheseHandsHaveKilled, though it's not uncommon for a character who simply started with just the feeling ending up with full-blown hallucinations over time.
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The most common form of this trope is for the character to hallucinate blood on their hands. This comes from the saying common saying in the English language (and some other languages) "their blood is on your hands," used to tell someone that another's death is their fault. The blood of the dead and the subsequent responsibility and guilt for killing them/getting them killed is metaphorically likened to the victim's blood staining their hands. Note that there's a difference between metaphorically feeling like there's blood on your hands and actually hallucinating that there is blood on your hands; the former falls under TheseHandsHaveKilled, though it's not uncommon for a character who simply started with just the feeling ending up with full-blown hallucinations over time.
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* ''Series/OneStepBeyond'': In "The Hand," Tom Grant, a piano player at a run-down dive, murders a beautiful young woman in a jealous rage with a broken-off beer bottle. After the police arrest a drunken derelict for the crime, Tom figures he's in the clear. Although he at first seems to have covered his tracks well enough, he soon discovers that, no matter how hard he tries, he cannot get the woman's blood off his hands. He forces a doctor to bandage the hand only to cause the blood to seep through. Eventually, he breaks down when he is called into witness for the murder and has to lay the hand on Literature/TheBible and swear to tell the truth.
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* ''Series/OneStepBeyond'': ''Series/OneStepBeyond1959'': In "The Hand," Tom Grant, a piano player at a run-down dive, murders a beautiful young woman in a jealous rage with a broken-off beer bottle. After the police arrest a drunken derelict for the crime, Tom figures he's in the clear. Although he at first seems to have covered his tracks well enough, he soon discovers that, no matter how hard he tries, he cannot get the woman's blood off his hands. He forces a doctor to bandage the hand only to cause the blood to seep through. Eventually, he breaks down when he is called into witness for the murder and has to lay the hand on Literature/TheBible and swear to tell the truth.
