The strings on The Shifting Mound will genuinely make your chest hurt at 2 AM. Slay the Princess: The Pristine Cut features this unreal vocal work from Amelia Jones across multiple movements that feel more like an art song cycle than a game soundtrack.
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A Prison of Flesh leans into something grotesque and beautiful at the same time, all creaking tension and dread. Then Rhythm of the Flesh grooves in this unsettling way that shouldn't work but absolutely does. Thirty-Trillion Cells and that track called An Empty Void that Dared to Dream it Was Alive.
Just the titles alone. The whole score mirrors the game's obsession with love, horror, and cosmic meaning, so if that visual novel broke your brain, the music will finish the job.