Every single track title starts with S and somehow that's not even the creepiest thing about this OST. Song of Saya's soundtrack scores one of the most disturbing visual novels ever made, and the music absolutely matches.
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"Schizophrenia" opens with this warped, dissonant texture that sounds like your ears are lying to you. Then "Song Of Saya I" comes in with a gentle music box melody that's somehow worse because it's beautiful in the middle of all that horror.
"Scream" is just. Yeah. "Shoes Of Glass" closes everything out with this fragile piano piece that makes you feel hollow. If you've finished the VN and want to feel deeply uncomfortable in a new context, listen to this alone at night.