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Motion blure and depth of field are two that I have to keep an eye on.  Sometimes a game makes me feel sick or gives me a headache and scaling those back helps.  Bloom can certainly be annoying but rarely does it cause me real problems.

Not a graphical effect but I'm not a fan of rumble in most instances.  It's very seldom immersive and usually the opposite.

Lens flare and God rays are sometimes way overused.  I often turn them off or down.  

Shooting a mind beam at his horse?