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[neotemplar]

Silent Storm, which is now available on gog.com for ten bucks.

I'm finally playing this game through for the first time and it's really fun yet extremely aggravating due to the fact that injuries tend to royally fuck up your shooting skills permanently although this can be mitigated if you know how.

If you think that is lethal you should play Hammer and Sickle the pseudo followup.  If you get shot even a little you'll have crippling injuries.

[Heron TSG]

The version of X-COM I have for DOSBox allows you to pick different modes, so Superhuman is a good challenge with that. (Chryssalids on terror mission #2? Sure!)

[Orb]

-snip-

Someone got banned for posting abandonia links(at least that's what one source told me). Either way, you might want to edit that out. 

To contribute: Cataclysm is quite lethal.

[Draco18s]

Pathologic.  Also creepy.

Rogue Trooper, on the higher difficulty settings (for the "I am a supersoldier, like the plot tells me I am" experience, set it to easy).

Spec Ops: The Line.  New one coming out soon.  I was playing the demo, and despite regenerating health, I still died more times than I can count.  Also, using grenades is a bitch (hold Q, mouse is largely irrelevant for aiming these, move with WASD).

[sambojin]

Diablo 3 hardcore mode. Not so much because you can die, that's the point of the mode. But because you lose all your carefully harvested gear as well. It actually brings a smile to my face that some people might have paid actual money for some of that equipment. Funny stuff, especially with 1HKOs in inferno difficulty. There's some horror stories waiting to happen.

[Robsoie]

The version of X-COM I have for DOSBox allows you to pick different modes, so Superhuman is a good challenge with that. (Chryssalids on terror mission #2? Sure!)

There was a bug in the DOS (not in the Collector Edition in which it was fixed) version of XCom that made it so whatever difficulty you choose, it automatically revert while ingame to "Beginner" (that is difficult enough for most people anyways ) . Chrysalids could appear in early terror missions even in Beginner from what i remember.

The excellent XComutils allowed then to fix that problem if you play the non-Collector Edition of XCom.

[Blackray Jack]

If you think that is lethal you should play Hammer and Sickle the pseudo followup.  If you get shot even a little you'll have crippling injuries.

Well this is basically Silent Storm regardless so

[MonkeyHead]

Firefight (part of the Sean O'Connors Windows Games bundle) is pretty brutal - its a WW2 tactical sim which puts you in control of up to 20 squads of units defending or attacking objectives and aims for plenty of realism and strong AI. Its normal to lose over 50% of your troops in any successful fight, the game thows unwunnable missionsat you just because, and if your character dies (which is highly possible if you deply sloppily) its game over. Graphics arent much to write home about, but as this is Bay12 I dont see that being an issue.

I picked up UnReal world the other day, and thats pretty unforgiving of combat related mistakes. Its pretty hard core all round actually.

[Draco18s]

I picked up UnReal world the other day, and thats pretty unforgiving of combat related mistakes. Its pretty hard core all round actually.

It also has some of the cruelest beginning options available.

"Your dad was mauled by an angry bear!  Yes, that one right there!"
Begin.

"You escaped some slavers and are grievously injured.  You are alone in the forest and bleeding."
Begin.

"It's the dead of winter and you have no food or shelter."
Begin.

"You've been captured by slavers and brought back to their camp before you manage to break free of your bonds."
Begin.
(Even more cruel than the second option, because you haven't escaped yet!)



Also, there's only one prayer to the gods which is known to have a supernatural effect.  It's the one that saves you from drowning.  When it works a giant fish shows up and carries you to land.  All the other prayers...?  Well, your skill bar rises significantly, but no one knows for sure if that means anything.

[Caz]

I picked up UnReal world the other day, and thats pretty unforgiving of combat related mistakes. Its pretty hard core all round actually.

"You escaped some slavers and are grievously injured.  You are alone in the forest and bleeding."
Begin.

I started with that scenario yesterday, my char fainted from the first second and wouldn't wake up.

Plus you're a few days from starving to death in all the modes, or waking up with a bear on your head. Hardcore indeed.

[Draco18s]

Plus you're a few days from starving to death in all the modes, or waking up with a bear on your head reindeer in your house. Hardcore indeed.

FTFY.  Reindeer are fucking mean.  I lost one of my most successful games because one flipped out and attacked me while I was hauling logs (I had just under my max carry weight, 300 pounds, and was moving very slowly, I had no time to react).

[Shadowlord]

On topic but different from the other games, there's the Deadliest Warrior: Ancient Combat videogame(s) (It comes with two games and all the DLC for both). Gameplay video (official, I think), demonstrating just how violent/lethal it is: http://www.youtube.com/watch?v=PmRFpSclcr4

[Draco18s]

On topic but different from the other games, there's the Deadliest Warrior: Ancient Combat videogame(s) (It comes with two games and all the DLC for both). Gameplay video (official, I think), demonstrating just how violent/lethal it is: http://www.youtube.com/watch?v=PmRFpSclcr4

Almost spend more time in loading screens than you do actually playing the game.

[Tibbz2]

The Arma series also seems quite unforgiving with how easily everything can go ploin shaped.

Definitely! I was on OA this morning where I had died a few times on a scenario due to an APC I had no idea was there in the first place. I did some planning for a while and thought out the whole mission like you couldn't do in any other game. I spent so long on it carrying out my master plan, only to be dispatched an hour in by a lone sniper in a village, who was waiting for me.

Moments like that are brutal, but so so awesome :p

[Mephisto]

I know this isn't a computer game, but the tabletop RPG GURPS is pretty lethal, especially in (post)modern games. The weakest modern pistol, an automatic .40, does 2d6 damage, may cause bleeding if those rules are in play, and can fire up to three rounds per second. This is in a world where the average Joe has 10 hit points.

A limb/extremity hit might not kill, but a roll of 3 will cripple a hand/foot, a roll of 4 will cripple an arm/leg, and just one point of damage will cripple an eye. Four points of damage to the skull will result in unconsciousness, heavy bleeding, and eventual death.

Double the damage values above and you'll irrevocably render that body part nonfunctional.

Healing isn't a joke either. An average character has a 50% chance of healing one hit point each day.