As a Moments subpage, all spoilers are unmarked as per policy. You Have Been Warned.
Nightmare Fuel
- The game is one of the few to capture the Cosmic Horror Story elements of H.P. Lovecraft's mythos.
- The game applies a green filter to everything from the moment you arrive on Darkwater Island. It's surprisingly effective at making the place look eerie.
- The game's opening is one of these as Edward wakes up in the middle of an abattoir of blood and flesh that turns out to be slaughtered sea creatures (though maybe not all sea creatures). He then shambles through the half-flooded caverns as a mysterious voice taunts him until he comes across a ceremony being conducted by creepy humans. It's All Just a Dream, though. Or is it?
- Sarah Hawkins' paintings are eerie and each some of the creepiest things in the game. Some of them move too.
- Darkwater Island is a decaying near-abandoned island off the coast of Boston which used to be a prominent whaling town. However, since the "Miracle Catch" it has become decayed and subtly off. The architecture has a vague resemblance to the kind in The Elder Scrolls III: Morrowind and there's a vague decaying menace to everything.
- The temple of Cthulhu underneath Hawkins Mansion is an Elaborate Underground Base consisting of caverns, sacrificial altars, murals, massacred sea-life, and a dungeon. At one point, Edward falls down a sacrificial well and ends up surrounded by carnage that simultaneously invokes his earlier dream.
- The Bedlam House where Edward Pierce is imprisoned. There's insane experiments being conducted with vivisection, surgery, drugs, and Mad Scientist material everywhere around. It also starts you meeting a character Back from the Dead. The fact many of the inmates want to STAY, however, should tell you how bad things are getting on the outside.
- Francis Sanders is one of the worst elements of this as he's been experimented on horribly, has had his eyes removed, and can only speak about how much more terrified he is of Sarah Hawkins. What happens next is terrible because he's murdered by something you can't even see.
- The ending of the game. After a Zombie Apocalypse, you have to go through an Eldritch Location, tripping balls the entire time and hallucinating dead or maybe alive people until you reach the location where you must perform the ritual to summon Cthulhu, commit suicide, or bind Cthulhu away. You can also walk away but that's not very scary.
- If you summon Cthulhu, you finally get a glimpse of the Great Old One in a flash of lighting. He's every bit as terrifying as you might imagine. He also compels everyone to start murdering each other and it's the beginning of the end of the world.
- Being Driven to Suicide is hardly a great option as well. At first the game cuts to black when he points his gun to his head, and we only hear the gunshot, but after the credits roll, The Stinger shows his office—which is in the middle of being cleaned out—now has a detailed painting of the exact moment of his bloody headshot, one eye rolled back into his skull, while creepy "humming" music plays.
- The Counter-Ritual may save the world but Edward may have suffered a Fate Worse than Death being locked up in the Bedlam House run by Doctor Fuller. Doctor Fuller is likely to study Edward for a very long time.
- Even the "Walk Away" ending is actually a Bittersweet Ending as Sarah Hawkins kills herself, whispering her little boy's name as the last thing she does. Doubles with Tearjerker.
- The segment when you control Mary Colden is set in Darkwater's hospital during a day of work. It starts by her examining a catatonic patient whose bones are anormally soft and who has an unidentified foreign body inside his abdomen. He's also severely dehydrated and the nurse who stands next to Colden explains that the intraveinous rehydration doesn't seem to have any effect, but the man seemed to have reacted positively when the staff washed him (like he absorbed water through his skin instead of the normal way). What exactly happened to him or how his transformation would actually end is never explained, beside the obvious fact he was one of Fuller's guiney pigs.
Nausea Fuel
- Sarah Hawkins' cell is a particularly horrifying place, not because of the usual Lovecraftian abominations but the fact the place is utterly full of buckets containing the sewage from her long imprisonment. Aside from being an aversion of Nobody Poops, that place must reek.
