Moments pages are Spoilers Off. You Have Been Warned!

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Series 1

Cora's miscarriage, courtesy of O'Brien. Granted, we don't see her fall, but we can only imagine how bad it must have been for her to lose the baby!
In the time period Kemal was clearly seen as dishonorable. Today, he'd be considered an outright sexual predator. The real horror hits when Mary continues to refer to him as her "lover."

Series 2

Any of the battle sequences. They're incredibly loud and chaotic, giving the feel as if the audience were really in the trenches during WWI
The fact that Vera Bates is SO twisted and evil she is willing to poison herself and die a slow painful death JUST on the chance Bates will be framed for it.

Series 3

Sybil's death from eclampsia is horrifying, made all the more so by how fast it is.
Thomas sneaking into Jimmy's room to kiss him while he's sleeping. Jimmy is understandably freaking out once he wakes up and realizes what's happening.

Series 4

Anna's rape at the hands of Mr. Green.
Nanny West starving Sybbie. Made all the worse that it's Thomas who notices as apparently her relatives are too oblivious.
Tom's rape by Edna, as he was drunk enough to only barely remember anything happening — which she had a hand in — and so clearly unable to give consent, while she was completely sober, having planned the whole thing. She then tries to baby trap him. As if that wasn't enough, even Mrs. Hughes and himself think he's partly to blame.

Series 5

Thomas slowly poisoning himself in an attempt to get rid of his homosexuality. He gets so frantic that he continues the "cure" way beyond what he should be able to take; by the time he finally breaks and asks Baxter for help, he has festering abscesses on his skin and looks like a walking corpse.
Mary's bullying of Edith going off the rails with nobody ever telling her to stop, endlessly telling Edith that her obviously depressed behavior is ruining the mood, and yet when Edith disappears, Mary cannot be arsed to worry, rolling her eyes as to why anyone is making such a fuss about worthless Edith. If it weren't for Marigold, Edith might well have been suicidal after all she's been through that Series, and Mary doesn't know of Marigold, yet that thought never crosses her mind.

Series 6

The scene where Robert's stomach ulcer bursts and he ends up projectile vomiting blood at the dinner table before collapsing. He honestly thinks he may well be dying.

Nightmare Fuel / Downton Abbey