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** Then again we should also consider the two executioners that come for him at the end.
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* The Violent Femmes' Country Death Song is sung from the point of view of a man slowly losing his mind, culminating in [[spoiler:pushing his daughter into a bottomless pit, and eventually hanging himself.]]
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* ''Paprika'' is another example.

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* ''Paprika'' ''{{Paprika}}'' is another example.example. Once again, it's made by Satoshi Kon.
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* The music video of "''Asylum''" by {{Disturbed}} has the patient/protagonist attempts throughout to escape from the titular asylum depicted this way. The events within are always surreal and usually overly violent and brutal (such as his being killed or beaten by the doctors and staff multiple times) while deranged and schizophrenic camera editing always follow the patient's POV (scenes without him are completely clean). The kicker is that after every one of his "deaths", [[ResetButton he ends up back in his padded cell]], implying it was a delusion.[[spoiler: During the last event, thinking he'll just be sent back to his cell to tosses himself into a furnace to escape the doctors pursuing him. This one wasn't a delusion]].

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* The music video of "''Asylum''" "Asylum" by {{Disturbed}} has the patient/protagonist attempts throughout to escape from the titular asylum depicted this way. The events within are always surreal and usually overly violent and brutal (such as his being killed or beaten by the doctors and staff multiple times) while deranged and schizophrenic camera editing always follow the patient's POV (scenes without him are completely clean). The kicker is that after every one of his "deaths", [[ResetButton he ends up back in his padded cell]], implying it was a delusion.[[spoiler: During the last event, thinking he'll just be sent back to his cell to tosses himself into a furnace to escape the doctors pursuing him. This one wasn't a delusion]].
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The Doctor Who examples don't fit this trope


*** Although, really, if you're going to try to apply normal standards of what's "possible" to the plots from the X-Files, you're on a fool's errand.
* Present in the SomethingCompletelyDifferent ''DoctorWho'' episode "Love & Monsters" by RussellTDavies, though Davies doesn't emphasize the horror aspect. However, the {{Whoniverse}} does come across as a more disturbing place in this episode than it does normally. As well as the Doctor himself.
** I flew into the wild and fire -- I danced and died a thousand times!

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* A significant chunk of the whole point of ''HigurashiNoNakuKoroNi''. It doesn't help that sometimes it's a [[UnreliableNarrator first-person narrative]] at the time. Although some objective explanations are given. Eventually.
** Although a good chunk of the explanations are only [[AllThereInTheManual in the visual novels]].

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* A significant chunk of the whole point of ''HigurashiNoNakuKoroNi''. It doesn't help that sometimes it's a [[UnreliableNarrator first-person narrative]] at the time. Although some objective explanations are given. Eventually.
**
Eventually. Although a good chunk of the explanations are only [[AllThereInTheManual in the visual novels]].



** While not perhaps an entirely pure example, one episode which features a cyberbrain found from a flea market that captures peoples' minds within itself in a never-ending movie does fit in this trope in the sense, that the entire experience is impossible within the logic of the series, where a Ghost cannot exist without a brain of some sort, and one brain shouldn't be able to hold several Ghosts.



** [[MindScrew Both.]]
*** It's not as much of a MindScrew as it seems, especially if you watch [[MindScrewdriver End of Evangelion]] and find out what was going on outside of Shinji's head. Put it simply, Instrumentality happened, and Shinji's tortured psyche became reality as giant naked Rei gave him God-like powers to remake the world as he sees fit.

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The Perfect Blue example read like part of a review. Millennium Actress isn't about madness.


* Another of Kon's works, ''PerfectBlue'', has this among the many tricks it plays with perception and reality. Unfortunately, these tricks are used so many times that the viewer is expected to keep several different alternate "realities" in their memory, up until the unsatisfying conclusion which explains absolutely nothing. Was it a good ending? A bad ending? An ironic ending? Nobody can tell. This is an example of MindScrew.
* Most of Kon's works are like this. ''MillenniumActress'', while not frightening, makes you wonder what the heck is real and what's not especially when the old woman is introduced. "I hate you more than I can bear but I love you more than I can bear." Screwed up.
** ''Paprika'' is also another example though more eerie than MillenniumActress because of the whole [[NightmareFuel parade thing]] goin' on...

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* Another of Kon's works, ''PerfectBlue'', has this among the many tricks it plays with perception and reality. Unfortunately, these tricks are used so many times that the viewer is expected to keep several different alternate "realities" in their memory, up until the unsatisfying conclusion which explains absolutely nothing. Was it a good ending? A bad ending? An ironic ending? Nobody can tell. This is an example of MindScrew.\n* Most of Kon's works are like this. ''MillenniumActress'', while not frightening, makes you wonder what the heck is real and what's not especially when the old woman is introduced. "I hate you more than I can bear but I love you more than I can bear." Screwed up.
** * ''Paprika'' is also another example though more eerie than MillenniumActress because of the whole [[NightmareFuel parade thing]] goin' on...example.
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Removing insanely old joke


Describe ThroughTheEyesOfMadness here... or it might be here.
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** Waters' earlier novel ''Affinity'' also featured a first-person narrator sliding into insanity, though there it's made quite clear at the end what's actually going on.

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* The ''CriminalMinds'' episode "Normal".

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* The ''CriminalMinds'' episode "Normal". A man takes out his fantasies of killing his family by killing other people. This leads up to a climactic chase scene where he's trying to get his family out of the city when his wife jerks the wheel and makes them crash. When he's pulled from the rubble, it's revealed he [[spoiler: had been hallucinating them the whole episode and killed them pretty early on]], which is hinted at constantly, in retrospect. It's one of those things you've got to watch twice.



* Early in the first game of ''TheSuffering'', you gain the ability to turn into [[SuperpoweredEvilSide a hideous monster]] that does excellent melee damage to foes, but suffers from a constantly decreasing KarmaMeter. Two later characters reference your berserk furies in which you tear foes apart with your bare hands, and are somewhat unnerved that you seem to believe you physically transform into a monster when you fight like this. It's never quite clear to what degree this is hallucinated and to what degree this is not. On the one hand, nobody thinks you really transform, and we know from the endings that being evil coincides with being insane. On the other hand, your real self probably couldn't do such tricks as a GroundPound. And on [[BodyHorror the giant knives that used to be your hands]], there doesn't seem to be such a thing as "objective reality" in this series.

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* Early in ''TheSuffering'' is very much built around this torpe. On the first game of ''TheSuffering'', you gain one hand, there's definitely monsters tearin' shit up. On the ability other hand, your character is definitely outside of his damn mind. On top of the constant hallucinations, he can transform in to turn into [[SuperpoweredEvilSide a hideous monster]] that does excellent melee damage to foes, but suffers from a constantly decreasing KarmaMeter. Two later Untrustworthy characters reference your berserk furies later note that you only ''think'' you turn in which to the monster, and that you have fits of rage wherein you tear foes apart monsters with your bare hands, but Dr. Killjoy seems to have a captive specimen of the monster, and are somewhat unnerved he ''knows'' that's what you think you look like. On top of that, the fact that you seem can tear apart bulletproof abominations with your bare hands is a bit hard to believe you physically transform into a monster when you fight like this.swallow. It's never quite clear to what degree this is hallucinated and to what degree this is not. On the one hand, nobody thinks you really transform, and we know from the endings that being evil coincides with being insane. On the other hand, your real self probably couldn't do such tricks However, it's hinted at early, as a GroundPound. And on [[BodyHorror the giant knives that used to be your hands]], there doesn't characters don't seem to be such a thing have any reaction to you "turning in to the monster", which [[FridgeBrilliance most players would write off as "objective reality" in this series.poor AI]].
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*** This troper thought it was actually cultists she was fighting, and Silent Hill was responding to her desire to not have to fight humans. So it warp her perspective to make them monsters.
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millenium -> millennium


* Most of Kon's works are like this. ''MilleniumActress'', while not frightening, makes you wonder what the heck is real and what's not especially when the old woman is introduced. "I hate you more than I can bear but I love you more than I can bear." Screwed up.
** ''Paprika'' is also another example though more eerie than MilleniumActress because of the whole [[NightmareFuel parade thing]] goin' on...

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* Most of Kon's works are like this. ''MilleniumActress'', ''MillenniumActress'', while not frightening, makes you wonder what the heck is real and what's not especially when the old woman is introduced. "I hate you more than I can bear but I love you more than I can bear." Screwed up.
** ''Paprika'' is also another example though more eerie than MilleniumActress MillenniumActress because of the whole [[NightmareFuel parade thing]] goin' on...
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* ''The Machinist'' is nearly a fantastic example of this trope. However the ending revelation rationalizes everything.

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* ''The Machinist'' ''TheMachinist'' is nearly a fantastic an almost surrealist example of this trope. However However, the ending revelation rationalizes everything.
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* Not present in every story path, but definitely present in {{Tsukihime}}. The entire story is told in the first person perspective of the protagonist, and due various drugs, [[EnemyWithin enemies within]], [[spoiler:a PsychicLink with the BigBad, who is an AxCrazy SerialKiller vampire]], and attempted GrandTheftMe, Shiki's grip on sanity [[{{Understatement}} gets pretty strained at times.]]
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* ''The Amityville Horror'' is one of the best examples, especially the remake. The protagonist becomes posessed by the haunted house, seeing his own children (and wife) as demons and eventually killing his own dog with an axe! Later on he goes after the family too, but [[spoiler:after being knocked out and dragged away from the house, he becomes sane again.]]

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* ''The Amityville Horror'' is one of the best examples, especially the remake. The protagonist becomes posessed by the haunted house, seeing his own children (and wife) as demons and eventually [[ItWasHisSled killing his own dog with an axe! axe!]] Later on he goes after the family too, but [[spoiler:after being knocked out and dragged away from the house, he becomes sane again.]]
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* ''The Amityville Horror'' is one of the best examples, especially the remake. The protagonist becomes posessed by the haunted house, seeing his own children (and wife) as demons and eventually killing his own dog with an axe! Later on he goes after the family too, but [[spoiler:after being knocked out and dragged away from the house, he becomes sane again.]]
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* TheKillingJoke. Joker's flashbacks.... [[MultipleChoicePaster Are they what actually happened or simply a fabrication of his twisted mind?]]

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* TheKillingJoke. Joker's flashbacks.... [[MultipleChoicePaster [[MultipleChoicePast Are they what actually happened or simply a fabrication of his twisted mind?]]
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* TheKillingJoke. Joker's flashbacks.... [[MultipleChoicePaster Are they what actually happened or simply a fabrication of his twisted mind?]]
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** By the way, "The Horla" actually ''inspired'' the [[CthulhuMythos Call of Cthulhu]]. HPLovecraft praised it, and said:

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** By the way, "The Horla" actually ''inspired'' the "The [[CthulhuMythos Call of Cthulhu]].Cthulhu]]". HPLovecraft praised it, and said:



* A version of ''The Emperor's New Clothes'' featured in one of the Datlow/Windling FableRemake collections plays a relatively lighthearted version of this. Due to a twist involving the boy who reveals that the Emperor has no clothes, both the narrator (The brother of the Emperor, who is a manipulative, treacherous would-be usurper who's far more incompetent than he realizes) and the reader are left wondering whether the clothes didn't exist, or they really ''did'' exist, and the narrator couldn't perceive them because he was wholly unfit for his position.

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* A version of HansChristianAndersen's ''The Emperor's New Clothes'' featured in one of the Datlow/Windling FableRemake collections plays a relatively lighthearted version of this. Due to a twist involving the boy who reveals that the Emperor has no clothes, both the narrator (The brother of the Emperor, who is a manipulative, treacherous would-be usurper who's far more incompetent than he realizes) and the reader are left wondering whether the clothes didn't exist, or they really ''did'' exist, and the narrator couldn't perceive them because he was wholly unfit for his position.
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* Several of HPLovecraft's stories read in this fashion, it often never being quite clear whether what's happening to the characters is actually happening, actually happened, or whether the characters just went insane. The fact that many of them start off clearly not that well adjusted in the first place and even more of them wind up in an insane asylum or living deep in ParanoiaFuel Territory really doesn't help things.

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* Several of HPLovecraft's stories (notably "The Rats in the Walls") read in this fashion, it often never being quite clear whether what's happening to the characters is actually happening, actually happened, or whether the characters just went insane. The fact that many of them start off clearly not that well adjusted in the first place and even more of them wind up in an insane asylum or living deep in ParanoiaFuel Territory really doesn't help things.



* The terrifying "The Repairer of Reputations" in ''The King in Yellow''.

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* The terrifying "The Repairer of Reputations" in RWChambers' ''The King in Yellow''.
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* As might be expected from MindScrew master PhilipKDick, ''TotalRecall'' plays with this: the film never resolves (and actively makes hazy) whether Quaid actually experiences the film's events or imagines it all due to his brain being monkeyed with at Rekall.
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** Done ''way'' better in the original, ''ATaleOfTwoSisters''.
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* The music video of "''Asylum''" by {{Disturbed}} has the patient/protagonist attempts throughout to escape from the titular asylum depicted this way. The events within are always surreal and usually overly violent and brutal (such as his being killed or beaten by the doctors and staff multiple times) while deranged and schizophrenic camera editing always follow the patient's POV (scenes without him are completely clean). The kicker is that after every one of his "deaths", [[ResetButton he ends up back in his padded cell]], implying it was a delusion.[[spoiler: During the last event, thinking he'll just be sent back to his cell to tosses himself into a furnace to escape the doctors pursuing him. This one wasn't a delusion]].
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** "The crashing tide can hide a guilty girl
From jealous hearts that start with gloss and curls.
I took my baby's breath beneath the chandelier
Of stars and atmosphere
And watched her disappear
Into the midnight show."

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** "The --->The crashing tide can can't hide a guilty girl
From
girl
--->With
jealous hearts that start with gloss and curls.
I --->I took my baby's breath beneath the chandelier
Of --->Of stars and atmosphere
And --->And watched her disappear
Into --->Into the midnight show."
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If it's clear that it's not all in the protaganist's mind and the danger is real, then the main character is [[ProperlyParanoid Properly Paranoid]].

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If it's clear that it's not all in the protaganist's protagonist's mind and the danger is real, then the main character is [[ProperlyParanoid Properly Paranoid]].



* ''{{Ghost in the Shell}}'' has one of these. [[spoiler: An assassin is interupted by the protagonists, but blows himself up to take out his target]] Well, actually not. That minute of footage was all from his viewpoint, so he only thought he pulled it off. It's subtle to catch too, reading the revealing line wrong makes it look like there was some DeusExMachina going on.

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* ''{{Ghost in the Shell}}'' has one of these. [[spoiler: An assassin is interupted interrupted by the protagonists, but blows himself up to take out his target]] Well, actually not. That minute of footage was all from his viewpoint, so he only thought he pulled it off. It's subtle to catch too, reading the revealing line wrong makes it look like there was some DeusExMachina going on.



* ''VanillaSky'' (2001), directed by Cameron Crowe and starring Tom Cruise. Remake of 1997 Spanish film ''Abre los Ojos'', a.k.a. ''Open Your Eyes''. After a car accident that kills his girlfriend and disfigures his face, the protagonist is haunted by increasingly bizarre occurences. The ending explains that [[spoiler:everything that has occurred after the car accident has been a dream. In real life, after the car accident, he signed a contract with a company that preserves its clients' bodies after death and keeps their brain waves active in lifelike virtual reality dreams, and then committed suicide. The bizarre occurrences are explained as glitches in the program. In the end, he decides to wake up from the dream program.]]

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* ''VanillaSky'' (2001), directed by Cameron Crowe and starring Tom Cruise. Remake of 1997 Spanish film ''Abre los Ojos'', a.k.a. ''Open Your Eyes''. After a car accident that kills his girlfriend and disfigures his face, the protagonist is haunted by increasingly bizarre occurences.occurrences. The ending explains that [[spoiler:everything that has occurred after the car accident has been a dream. In real life, after the car accident, he signed a contract with a company that preserves its clients' bodies after death and keeps their brain waves active in lifelike virtual reality dreams, and then committed suicide. The bizarre occurrences are explained as glitches in the program. In the end, he decides to wake up from the dream program.]]



* Since ''TheDescent'''s main character was hallucinating without a doubt at several separate points, there is a popular theory that the cave monsters were all in her mind and it was her that [[spoiler:killed all her friends]]. The director orignally put a crawler silouette into the first hallucination sequence (which took place outside the cave) but had it edited out because he wanted to leave it more ambiguous.

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* Since ''TheDescent'''s main character was hallucinating without a doubt at several separate points, there is a popular theory that the cave monsters were all in her mind and it was her that [[spoiler:killed all her friends]]. The director orignally originally put a crawler silouette silhouette into the first hallucination sequence (which took place outside the cave) but had it edited out because he wanted to leave it more ambiguous.



** The original Koji Suzuki short story just about counts as this trope, too. Yoshimi experiences several minor paranormal occurences, and at the end is unsure whether it was real or the product of her over-stressed mind.

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** The original Koji Suzuki short story just about counts as this trope, too. Yoshimi experiences several minor paranormal occurences, occurrences, and at the end is unsure whether it was real or the product of her over-stressed mind.



* In ''TheTerror'' by Dan Simmons it's not clear if the monster slaughtering them is just a combination of sleep deprivation, lack of food, denial, stupidity and one hungry bear or if it is actually the incarnation of Arctic rejecting the explorers.

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* In ''TheTerror'' by Dan Simmons it's not clear if the monster slaughtering them the explorers is just a combination of sleep deprivation, lack of food, denial, stupidity and one hungry a bear or if it is actually the incarnation of Arctic rejecting the explorers.spirit Arctic.
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* Stanislaw Lem's character Ijon Tichy is subject to this in ''TheFuturologicalCongress'' after being dosed with powerful hallucinogenic drugs.

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* [[StanislawLem Stanislaw Lem's Lem's]] character Ijon Tichy is subject to this in ''TheFuturologicalCongress'' after being dosed with powerful hallucinogenic drugs.
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[[folder:NewspaperComics]]
* ''{{Candorville}}'' generally implies either "everything supernatural is real" or "everything supernatural is a hallucination," but it keeps going back and forth on ''which'' it's implying. Saxon's crazy--[[spoiler:he thinks he's a {{Dhampyr}}]]. No, wait, [[spoiler:he just showed off his GameFace]]. No, only Lemont saw it, and Lemont [[WeirdnessMagnet sees bizarre things all the time that nobody else ever sees]], so [[UnreliableNarrator perhaps]] . . . Wait, Susan saw something too! But no, [[AllJustADream she was only dreaming]]. It seems the final conclusion will be [[spoiler:it's real--Lemont's lawyer is shackled to a wall next to the skeleton of one of his friends, and his captor quite clearly has [[FangsAreEvil fangs]].]]
[[/folder]]
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* {{Coldplay}} of all bands, did this in "A Rush of Blood to the Head."
* TheKillers have their [[MurderBallad "Murder Trilogy."]] While the "Jenny Was A Friend Of Mine" and "Leave the Bourbon on the Shelf" don't qualify, "Midnight Show" fits pretty well.
** "The crashing tide can hide a guilty girl
From jealous hearts that start with gloss and curls.
I took my baby's breath beneath the chandelier
Of stars and atmosphere
And watched her disappear
Into the midnight show."
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*''The Uninvited,'' though it's executed with very little ambiguity.

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