You awaken in a cold unfamiliar building crawling with grotesque creatures. Stave off terror using your wits and anything you can find, then try to make it out alive in this highly atmospheric environmental horror game. Players gave DYSTHANASIA a 89% positive score. Released November 21, 2025. Top tags include Horror, Survival Horror, Anime, Psychological Horror, Dark, Third Person, Stealth, Puzzle, Atmospheric, and Surreal.
You awaken in a cold unfamiliar building crawling with grotesque creatures.
You awaken in a cold unfamiliar building crawling with grotesque creatures. Stave off terror using your wits and anything you can find, then try to make it out alive in this highly atmospheric environmental horror game.
Developed by Madowaku Kobo · Published by Eroge Japan
Player Review Breakdown
DYSTHANASIA has about 323 positive and 40 negative player reviews out of a total 363. We'll add a detailed breakdown here when there are more reviews.
89%
positive of 363 player reviews
Full Game Details
From the Devs
Story
A girl awakens in a cold, damp morgue. Bloodstains, not yet dry, cling to the walls and floor, alongside unidentifiable chunks of flesh...
Grotesque moans from inhuman entities echo through the air. In this research facility, warped by malice and roamed by otherworldly beings, you can run, hide, or use tools to try and escape...but a single mistake, and the girl’s body will be torn apart and reduced to a mangled heap...
Follow the trail drawn in blood and step into the source of this nightmarish aberration.
Overview
A controversial masterpiece banned in Japan for its shockingly intense content. Seventeen years after the shocking legacy of the cult survival horror DEMONOPHOBIA... A new wave of madness and despair rises once more.
The Ultimate Horror Experience Expertly crafted nerve-shattering tension that slowly erodes at your sanity. The sound of tearing flesh, the crunch of breaking bones, the sensation of entrails slamming against the floor… Vivid images of brutal death will sear themselves into your mind.
Extreme Survival Exploration Monsters capable of reducing your body to mere scraps in an instant hunt you down relentlessly. Use your wits and environmental traps to create fleeting moments of opportunity. Blind them with flares, crawl through vents, or drag yourself across blood-soaked corridors to survive.
A Nightmare Woven by the Player The truth of your existence and your surroundings are revealed in fragmented pieces, as if unraveling a forbidden taboo. When you connect all the clues, you may come to regret uncovering the full reality.
Madness-Fueled Puzzles Endure unbearable terror that gnaws at your psyche. Stay composed and deduce the answers with a clear mind.
Features
A forbidden survival horror game initially banned from sale and removed from its initial platform.
Two unlockable costumes that become available as you progress through the game.
A blood-soaked, despair-filled horror experience unlike any other.
Gallery mode for closely observing unlocked monsters.
Three difficulty settings: from Assisted, for focusing on story and puzzles, to Fragile, where unfair deaths await.
