When Grand Theft Auto IV is already a Darker and Edgier installment of the Grand Theft Auto franchise, The Lost And Damned expansion pack picks the most-damned of the darkness.
- The Pause Menu theme
is one of the most ominous and haunting themes in the entire series, with a distorted, industrial sound that seems more suited to Manhunt in certain sections. - The Losts' ending. As if the Deal and Revenge endings in the main game is not Tear Jerker enough, this expansion defined the meaning of a Downer Ending as the clubhouse is burned with many of Johnny's friends ended up dead. Given on the main page, it's not surprising.
- As depressing as the ending is, it's even more horrifying when you are aware of the Lost's eventual fate in the sequel with the whole gang getting wiped out (including Terry and Clay) and Johnny's brutal death by a very unhinged Trevor Phillips.
- Jim's Cold-Blooded Torture at the hands of Ray Boccino - mainly involving his face and a blowtorch. It's worse when you finds out his fate in the vanilla game.
- Billy Grey. An Ax-Crazy Caligula whose instability constantly puts everyone around him on edge, friend and foe alike.
- During the prison break in "Off Route", Johnny encounters a prisoner trussed up Hannibal Lecter-style who releases himself from his restraints. And then immediately pounces on a cop and eats him alive. Research into his character reveals that he is a Serial Killer who breaks into people's homes and eats them, and was to be transferred to maximum security after disemboweling and devouring an orderly. And Johnny breaks him out of prison. He's still out there, free to kill anyone he chooses.
