Samuel Laflamme's Outlast II score is less music and more organized panic. The track titles alone tell you where this is going. "I Am the Chorus of Screams!" is exactly what it sounds like, layered vocal distortion piled on top of grinding strings until your fight-or-flight kicks in just from listening.
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"Let's Step Back into Class, Please" flips to this eerie schoolroom calm that's somehow worse. Way worse. "That Lake Is Wrong" uses these low, waterlogged drones that feel physically uncomfortable in headphones. The whole soundtrack blurs the line between religious choir music and outright sonic assault, which is kind of the whole point of the game.
Essential listening for anyone who thinks horror games peaked at jump scares.