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manhunt ???
gta vice city ???
silent hill 2 ???
max payne ???
mafia ???
resident evil ???
devil may cry ???
dino crisis ???
the choice is yours.
personally i dont think max payne was that gruesome.
i say manhunt.
if i really had to choose one i would choose manhunt because i just completed it yesterday and its got a great storyline.
sneaking up behind some guy and slitting his throat - if that had been released 5 years before it'd be banned I reckon.
The latter title would have to go to Mortal Kombat, after it's release caused mass media hysteria on an unprecedented level. Carmageddon was bad, but MK was much more explicit.
Most gruesome ever? I'm not sure. Perhaps that 3D0 murder mystery game (or was it on the jaguar?) which included photo scenes of such things as a dismbodied skull & spinal cord. Don't remember the name of it now though.