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Horror games about madness on PlayStation

In these games the mind gives way. A sanity or stress meter climbs as you face the dark, and when it breaks your sight and hearing distort, your crew or heroes turn on you, and you can no longer trust what is in front of you. Others follow a character who hears voices or sees things, so the fear comes from not knowing which parts of the world are real.

The top 22 of 22 horror games about madness on PlayStation, ranked by player and critic scores

The 22 best on PlayStation

  1. DISTRAINT: Deluxe Edition key art: Price in a shirt and tie among a couple with teacups, an old woman in a wheelchair with a rabbit and three bald men, under a looming red elephant PsychologicalDISTRAINT: Deluxe EditionCritics describe the story as the main character's spiral descent into insanity as his guilt turns his surroundings into nightmares. 93% on Steam (12,970 reviews)about 2 hPaidPC, PlayStation, Xbox, Switch
  2. Darkest Dungeon key art: a masked swordsman, a plague doctor and a highwayman with pistol and dagger stand before walls of skulls in a red-lit crypt 2D horrorDarkest DungeonStress builds in every hero, and at the breaking point they can turn paranoid, masochistic, fearful or irrational. 92% on Steam (163,343 reviews)56 h or morePaidPC, Mac, Linux, PlayStation, Xbox, Switch, iPhone
  3. True Fear: Forsaken Souls Part 2 key art: title beside a pale cracked-mask figure holding a finger to its lips, in a dark hole in cracked blue ice PsychologicalTrue Fear: Forsaken Souls Part 2The story turns on the question of whether Holly's mother was crazy, told through notes and photographs in an asylum. 92% on Google Play (42,600 ratings)about 8 hPaidPC, Mac, PlayStation, Xbox, Switch, iPhone, Android
  4. Hellblade: Senua's Sacrifice key art: Senua in silhouette stands among wildflowers before a great tree lit by golden sunlight and falling leaves PsychologicalHellblade: Senua's SacrificeSenua lives with psychosis, and the game was made with neuroscientists and people who experience psychosis. 90% on Steam (76,810 reviews)about 7.5 hPaidPC, PlayStation, Xbox, Switch
  5. Who's at the door? key art: a pale, wide-eyed doll-like face seen through a green door peephole against black PsychologicalWho's at the door?The hero lives with hallucinations, and the press release describes the protagonist as having schizophrenia. 90% on Steam (1,662 reviews)about 1.5 hPaidPC, PlayStation, Switch
  6. Vlad Circus: Descend Into Madness key art: a balding clown in white gloves and a loose tie clutches his face and screams upward, lit teal above and red below in dark smoke PsychologicalVlad Circus: Descend Into MadnessA stress meter replaces health, and as it fills Oliver hears whispers and blacks out, waking somewhere else in the house. 89% on Steam (205 reviews)about 4.5 hPaidPC, PlayStation, Xbox, Switch
  7. Knock-knock key art: the red-haired Lodger in a scarf holds up a glowing candle while a huge shadowy skull-faced figure looms among dark branches PsychologicalKnock-knockThe goal of each night is to reach dawn with the Lodger's threadbare sanity intact 87% on Steam (2,087 reviews)about 3 hPaidPC, Mac, Linux, PlayStation, Xbox, Switch, iPhone
  8. Lovecraft's Untold Stories key art: pixel-art Earth in a starry sky ringed by purple tentacles, a horned goddess, a pale ghoul and a winged, tentacle-faced Cthulhu 2D horrorLovecraft's Untold StoriesWrong choices in events drain your sanity, and an investigator who goes mad takes their own life 86% on Google Play (2,230 ratings)about 6 hPaidPC, Mac, PlayStation, Xbox, Switch, iPhone, Android
  9. Death Frame key art: a hooded skeletal ghost with glowing blue eyes reaches out of a dark picture frame toward the viewer, beside the title PsychologicalDeath FrameDiaries trace a mind consumed by madness, and the madness grows stronger the further you go. 97% on Steam (59 reviews)about 2 hPaidPC, PlayStation, Switch
  10. Sunless Sea key art: a lone lit buoy with a bell leans out of a flat dark sea under a green-black sky 2D horrorSunless SeaSpend too long in the dark and your crew's terror climbs until they see things, lose their sanity and mutiny 83% on Steam (9,582 reviews)22 h or morePaidPC, Mac, Linux, PlayStation, Xbox, Switch, iPhone
  11. Forgive Me Father 2 key art: two helmeted soldiers in gas masks with tentacles spilling from their faces, one holding a rifle, on cracked green stripes Action horrorForgive Me Father 2Madness builds as you fight and fuels the strange abilities you turn on your enemies 82% on Steam (2,540 reviews)about 6.5 hPaidPC, PlayStation, Xbox, Switch
  12. The Infectious Madness of Doctor Dekker key art: a black tentacled skull silhouette on a glowing green mosaic, with the title in pale serif letters PsychologicalThe Infectious Madness of Doctor DekkerThe title's infectious madness: patients with bizarre afflictions and a shadow reality of horrors that go bump in your head. 82% on Steam (551 reviews)about 8 hPaidPC, Mac, Linux, PlayStation, Xbox, Switch
  13. The Town of Light key art: painted profile of a young woman with closed eyes, face tilted up, beside a glowing orange asylum building fading into green mist PsychologicalThe Town of LightHer own medical files question what she remembers, and you cannot be sure which of her memories to trust 79% on Steam (2,839 reviews)about 3 hPaidPC, PlayStation, Xbox, Switch
  14. Sherlock Holmes The Awakened key art: a giant tentacled creature with glowing red eyes looms out of green fog and rain MysterySherlock Holmes The AwakenedHolmes fights encroaching insanity, and the pursuit of the truth pushes him to the verge of madness. 81% on Steam (1,156 reviews)about 9 hPaidPC, PlayStation, Xbox, Switch
  15. Pathologic 3 key art: a young man's face seen through the pieces of a shattered mirror PsychologicalPathologic 3A meter swings between apathy and mania; too far either way changes what Dankovsky sees and can kill him. 80% on Steam (2,839 reviews)25 h or morePaidPC, PlayStation, Xbox
  16. Skautfold: Shrouded in Sanity key art: a cracked pocket watch on a grey floor, spattered with blood, under the title 2D horrorSkautfold: Shrouded in SanityThe servants are driven to violent madness by cosmic insight, and your own insanity rises with every death. 80% on Steam (505 reviews)about 5.5 hPaidPC, PlayStation, Xbox, Switch
  17. Storebound key art: a pale, bloodied arm in a red store uniform with an ID badge grips a lamp with a price tag and a bloody handprint on its shade Co-opStoreboundA sanity system: the mall gets into your head, and lose control and you may turn against your friends 78% on Steam (1,512 reviews)about 6 hPaidPC, PlayStation, Xbox
  18. Rise of Insanity key art: a sepia creature whose head is a cluster of screaming faces, a bird skull and animal heads, in a dim vaulted room PsychologicalRise of InsanityThe patient shows contradictory symptoms of several mental disorders, in a story UploadVR sums up as the decay of the human mind. 79% on Steam (961 reviews)about 2 hPaidPC, Linux, VR, PlayStation, Xbox, Switch
  19. Moons of Madness key art: an astronaut in a blue and white suit falls through dark mist toward huge red-ridged tentacles PsychologicalMoons of MadnessThe Steam page describes visions, hallucinations, isolation and paranoia that make you question what is real. 77% on Steam (2,951 reviews)about 6 hPaidPC, PlayStation, Xbox
  20. Narcosis key art: a diver in a bulky deep-sea suit and helmet in dark teal water, a frightened face behind the glass, with the title NARCOSIS across the middle PsychologicalNarcosisStress speeds up the diver's oxygen use and distorts his sight and hearing as his sanity gives out. 76% on Steam (1,475 reviews)about 4 hPaidPC, Mac, PlayStation, Xbox, VR
  21. Darkest Dungeon II key art: four heroes, including a plague doctor and a masked man with a flintlock pistol, stand before burning houses under a flame emblem CosmicDarkest Dungeon IIA scientist's experiment with the Iron Crown sends most of humanity into madness and lets eldritch beings in 75% on Steam (12,147 reviews)30 h or morePaidPC, Mac, PlayStation, Xbox, Switch
  22. Call of Cthulhu key art: a lone man in a coat stands before lit iron gates under twisted bare trees at night PsychologicalCall of CthulhuPierce's sanity slips as he uncovers the truth, and his senses are disrupted until he questions what is real. 79% on Steamabout 8 hPaidPC, PlayStation, Xbox, Switch

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More picks

Scores are those players and critics give on the stores and sites named; each game's page says where.

More kinds of horror

  1. Psychological horror games137
  2. Survival horror games136
  3. Horror games with multiple endings115
  4. Horror puzzle games108
  5. Stealth horror games85
  6. 2D horror games59
  7. Short horror games53
  8. Co-op and multiplayer horror games49
  9. PS1 horror games41
  10. Horror escape games40
  11. Horror shooters and action horror games37
  12. Surreal horror games37
  13. Zombie games34
  14. Cosmic and Lovecraftian horror games33
Every genre

Other places to play

  1. Steam horror games1009
  2. Epic horror games97
  3. GOG horror games270
  4. itch.io horror games592
  5. PC horror games1337
  6. Mac horror games391
  7. Linux horror games261
  8. Xbox horror games367
  9. Switch horror games317
  10. Mobile horror games188
  11. VR horror games69
  12. Browser horror games236
  1. Scary games404
  2. Free horror games11
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