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My all time favourite horror game is Fatal Frame 4. Something about Japanese horror gets under my skin in a way that Western horror just doesn't. From its potent atmosphere, to its tense ghost-busting combat, to its surprisingly deep and moving story, it's just a masterful production through and through.

 

The original Dead Space comes in second. It's not quite as scary, but its dismemberment mechanics still make for one of the most satisfying combat systems out there, and there's still plenty of well constructed jump scares and a wonderfully grim, industrial sci-fi aesthetic.