They don't just slaughter pigs.
- The prison is a Hellhole Prison with rats, Prison Rape, grim, an Army of Thieves and Whores plus Sadist guards. Vito believes he won't survive his stay there unless he gets protection and he's probably right.
- The inmate suggesting he wants to rape Vito while he is in prison is incredibly unsettling. The inmate himself is disturbingly creepy as well. His scratchy voice don't help. The guard acts as if he "conveniently" leaves sexual predators to gang rape fellow inmates on a regular basis.
- The fact is that it was Truth in Television for the time period and not that far removed from some federal prisons today.
- Joe is Affably Evil most of the time but the casual way he just shoots a Greaser in the face for trying to shake him down for cigarettes shows that he is very much a Villain Protagonist.
- The slaughterhouse in the mission "Ball and Beans" is quite disturbing, too - especially since you can hear pigs squealing as they are slaughtered.
- It's stated that Luca Gurino is going to be tortured to death before being tossed in a meat grinder. They even get the accountant to participate.
- Joe's Roaring Rampage of Revenge after Marty's death. It's clear that Joe is driven by grief and guilt that he got the boy killed rather than anything resembling justice. The fact that he empties an entire clip into Clemente doesn't do a thing to alleviate his guilt either.
- The poor bartender who calls Vito in the middle of the night to fetch a drunk Joe Barbaro, who is engaged in Reckless Gun Usage. He ends up being shot for his troubles and his body disposed of in a car crusher. His friends and relatives will never know what happened to him either. He also died for nothing.
- Henry being brutally murdered by the Chinese in broad daylight... who are using meat cleavers. The worst part is hearing Henry, who has spent the game up to this point cool and in control, screaming and crying in agony.
- Vito watching helplessly as Joe is driven off to be executed. It is easily one of the saddest moments in the game as well as the most horrifying.
