As a Moments subpage, all spoilers are unmarked as per policy. You Have Been Warned.
- The entire pileup premonition.
- Unlike many of the series' opening codas, this one is terrifyingly realistic (despite Every Car Is a Pinto in full effect). Pileups just as messy, horrifying, and lethal can and do occur
in real life, especially during bad weather. A truck's load going out of control from improper securing is also not at all uncommon. Please, be careful on the road. - Also, the fact that, unlike the other opening disasters, the entire scene depicting the accident is eerily devoid of music until it quiets down just before the "truck from hell" shows up, which somehow makes the whole thing realistic in a specific way the other disasters are not. If it weren't for the fact that nearly all the vehicles explode on impact, one could be forgiven for mistaking it for a bone-chillingly accurate recreation of what a real pile up is like.
- The log truck that starts the disaster. There's a reason why it's often joked that this movie made an entire generation afraid to drive behind them.
- The end of the pile-up premonition is just as bad. Evan is trapped in his car and slowly burning to death in front of the protagonist. Then a monstrous looking truck runs him over from nowhere, the shifting metal sounding as if it's roaring before killing Kimberly. We never find out anything about where it came from, and the wiki calls it the Truck from Hell.
- Even worse. Just as it seemed that Kimberly managed to avert the massive deaths, the Truck came back and slammed Kimberly's car anyway, killing Dano, Frankie, and Shania. The Truck itself might be Death's recurring tool, as the wikia implies that it returned to the next movies to deliver deaths. Also, the Truck is listed to have no drivers, and its tires' sounds somehow is emulating a sinister laugh.
- Unlike many of the series' opening codas, this one is terrifyingly realistic (despite Every Car Is a Pinto in full effect). Pileups just as messy, horrifying, and lethal can and do occur
- The shadowy, skeletal hands.
- When Bludworth is prepping Evan's corpse for cremation, the camera cuts to a horrendous closeup of him using a pair of tweezers to rip off Evan's nipple ring, cutting away at the very last second before the piercing gets torn off. "Cringe-inducing" does not even begin to describe it.
- Nora's death by Evil Elevator. Her braid gets hooked on a bunch of prosthetic limbs a man in the same elevator is carrying, causing her to fall with her head trapped in between the elevator doors. The elevator then ascends, and despite the people in and out of the elevator trying to help, her head is torn off her shoulders.
- A plastic fish falling into Tim’s mouth while he's being administered nitrous oxide. He doesn’t suffocate, though. What kills him is when a giant glass pane being held up by a crane falls on him. All of Tim’s death, from the pigeons brushing past the lever to the glass pane crushing him happens before Nora’s eyes.
- The fact that Death seems to have developed a grudging respect for Clear - and possibly some fear of her - and she knows it. Kimberly and Thomas believe Clear has defeated Death. Clear is a little more pessimistic (and correct!) to note that she hasn't: in the Mental Asylum, designed so that no-one can kill themselves, Clear is safe and has played Death to a stalemate on the chessboard - Death is merely waiting for her to make her move, her error, to get them out of stalemate, so that it can make its move in retaliation. It is said that Clear escaped Death at least six times note and all of her "escaped" or "cheated" deaths involved explosions; Death respects her enough as a worthy opponent to make it quick - and presumably painless as she's likely not to feel anything being blown up - in all of its unsuccessful (and later successful) attempts to obtain her life... but also fears her enough to know that she can see the signs coming and avoid them that it has to get rid of her as soon as it is physically possible to do so, which it attempts by trying to hit her with a canoe to knock her through a window into a presumed to explode substation outside the window, but she is quick enough to see it coming. Finally, Death decides to screw with the signs and finally gets her when Clear makes her error - caring about someone else and going to check on them - and gives her a simple, quick, painless death.. by exploding a hospital room.
- And when you think Death has finished killing everyone, a barbecue explodes and blows Brian Gibbons to pieces. And then, HIS ARM LANDS ON THE TABLE. RIGHT IN FRONT OF HIS DEVASTATED MOTHER.
