Horror games are terrifying on their own, but when they are based on real-life events, they become even more disturbing. Whether inspired by urban legends, real-life hauntings, or true crime stories, these games blur the line between fiction and reality, making the fear they evoke feel all too real. Here are ten of the scariest horror games that take their inspiration from true stories.

1. Fatal Frame (2001) – The Haunted Himuro Mansion

Fatal Frame, also known as Project Zero, is one of the most chilling horror games ever made. The game’s story revolves around a haunted mansion and spirits that can only be seen through a mystical camera. It is said to be inspired by the legend of the Himuro Mansion, a real place in Japan where a gruesome ritual went wrong, resulting in multiple deaths. The legend claims that the spirits of those who perished still haunt the area. While the actual existence of the mansion is debated, the eerie tale has added an extra layer of horror to the game.

2. Kholat (2015) – The Dyatlov Pass Incident

This atmospheric horror game is based on the Dyatlov Pass Incident, a real-life mystery where nine experienced hikers died under unexplained circumstances in the Ural Mountains in 1959. Some were found with crushed skulls and missing body parts, and no official explanation has ever fully solved the case. Kholat immerses players in the chilling landscape of the Ural Mountains as they uncover supernatural elements that could have caused the tragedy.

3. Outlast (2013) – Murkoff Asylum and Real Psychiatric Hospitals

Outlast (2013)

Outlast takes place in Mount Massive Asylum, a horrifying psychiatric facility filled with mutilated patients and disturbing experiments. The game draws inspiration from real-life cases of inhumane asylum treatments, particularly those at Pennhurst State School and Waverly Hills Sanatorium, both infamous for reports of abuse and paranormal activity. The game’s terrifying atmosphere is heightened by the fact that similar atrocities occurred in real-life institutions.

4. The Town of Light (2016) – Volterra Psychiatric Hospital

This psychological horror game is based on the real-life Volterra Psychiatric Hospital in Italy, which was known for its cruel treatments and was eventually shut down due to inhumane conditions. The Town of Light follows a fictionalized patient’s experience in the asylum, drawing directly from documented accounts of mistreatment in psychiatric facilities. The fact that the abandoned hospital still stands today only adds to the game’s eerie authenticity.

5. Manhunt (2003) – Snuff Films and True Crime Cases

Manhunt is infamous for its extreme violence, but its disturbing premise is loosely inspired by real-life snuff film urban legends and criminal organizations that have been rumored to create such content. While no confirmed cases of snuff films exist, the game plays into the idea of people being kidnapped and forced into brutal death games for a hidden audience, drawing parallels to real-world human trafficking and underground crime networks.

6. Resident Evil (1996) – Biological Experiments and Virus Outbreaks

While Resident Evil is known for its fictional zombie outbreaks, the series has been influenced by real-life biological experiments, including Unit 731, a secret Japanese research unit during World War II that conducted horrific experiments on prisoners. Additionally, the concept of bio-weapons and deadly viruses reflects actual scientific concerns about bioterrorism and the dangers of genetic engineering. Like our selections? Read also about Iconic Horror Villains.

7. Siren (2003) – The Village of the Damned

Siren is a Japanese horror game set in a cursed village where the dead come back to life. The game is said to be inspired by a real-life village in Japan that mysteriously disappeared, as well as the Sugisawa Village legend, which claims that an entire town was wiped out due to a mass murder, leaving behind vengeful spirits. While the existence of such a village is debated, the urban legend remains chilling.

8. The P.T. Demo (2014) – The Hideo Kojima Horror Experiment

The P.T. Demo

Though never fully released, P.T. remains one of the most terrifying horror experiences in gaming. The game’s cryptic story about a murdered family and supernatural hauntings is reminiscent of real-life cases, particularly the Ronald DeFeo Jr. murders, which inspired The Amityville Horror. The game’s looping corridor and ghostly presence evoke the feeling of being trapped in a real-life haunting.

9. Neverending Nightmares (2014) – The Developer’s Personal Trauma

Unlike other horror games that take inspiration from famous cases, Neverending Nightmares is based on its creator Matt Gilgenbach’s real-life struggles with OCD and depression. The game visually represents his intrusive thoughts and fears, making it one of the most personal and psychologically disturbing horror games ever made.

10. Blair Witch (2019) – The Burkittsville Legend

Based on the legend that inspired The Blair Witch Project, this psychological horror game follows a search for a missing child in the haunted Black Hills Forest. The legend of the Blair Witch may have been fabricated for the original film, but it is rooted in real-world urban legends about cursed forests and missing persons cases. The game’s chilling atmosphere plays on these fears, making players feel like they are truly lost in a dark and supernatural wilderness.

Horror games that are inspired by real-life events have a unique way of unsettling players, as they remind us that sometimes, the scariest stories aren’t just fiction. Whether based on tragic historical events, supernatural folklore, or psychological trauma, these games create immersive experiences that make the horror feel real.

For more terrifying game recommendations, visit the IGN Horror Game List or read more about horror game history on Wikipedia.