#amputation*

The haunted house level is a famous level in the game that utilises jump scares, stalking, ghostly apparitions (with laughter), extreme darkness, and has two extremely claustrophobic scenes.

To skip the level, after you receive it from Therese, use the console (link) and use the console command "give item_g_ghost_pendant". You would also need to set "G.Therese_Quest = 2". There are other jump scares in the game, but they are more about enemies suddenly appearing.

The following has been paraphrased from Game Phobias.

Amputation/decapitation:

A major quest character is obsessed with cutting off others’ body parts. They will attack the protagonist in an attempt to do this.

A character is beheaded in the opening cutscene.

A torso missing limbs is found in a basement.

A quest gives the protagonist a severed arm as a weapon.

The protagonist finds a character whose finger has been cut off. It isn’t visible.

In the warehouse across the street from The Last Round, there is an impaled corpse that is missing its head and some limbs. It is graphically rendered.

It is revealed via dialogue that Gimble cut off his own arm to better understand prosthetics. To avoid this dialogue the player must not click the “Tell me more about yourself” dialogue option.

In the haunted house, there are newspaper articles detailing how a child was murdered and his head cut off. It is required to read this article to complete the quest unless you use the console.

Asphyxiation:

The Malkavian power “Vision of Death” will cause the victim to commit suicide via strangling themselves. The power “Bedlam” can also possibly cause it. The player doesn’t need to use these powers.

Body horror/gore:

Nosferatu history: an ability means that the protagonist’s body is trying to rot.

A character reveals that they have been purposefully twisting humans into monsters. It isn’t shown onscreen.

In the Sabbat hideout there are mutilated bodies strung up in the beginning area and the final boss’s room.

Cannibalism:

In the basement of the abandoned apartment complex (during the documentary quest), there is a vampire that eats people instead of drinking their blood. Their first appearance shows them eating a body and they have blood smeared across their face while talking.

On the “crackhouse” level, there are zombie-like creatures that will eat the protagonist’s brains if they get too close.

Claustrophobia:

Multiple quests require the protagonist to crawl through ventilation systems.

In the haunted house level, the protagonist must enter a small dumbwaiter to gain entry to the second floor. In the same quest an elevator will break and fall on top of the protagonist.

In one of the endings, the player must be inside an elevator when the elevator breaks down, and also has to crawl through a pipe. If you want to avoid this, see the end of the post (spoilers regarding who you can side with).

Darkness:

The haunted house that the Player Character goes to for Therese uses darkness and shadow to frighten the player. There are areas that are extremely dark and ghosts will appear out of nowhere in some areas. This quest is required to complete the game unless you use the console.

Drowning:

One of the endings involves a character being trapped at the bottom of the ocean for eternity. If you want to avoid this, see the end of the post (spoilers regarding who you can side with).

Drug use:

A side-quest ends in a level that is called “The Crackhouse”.

In the Giovanni mansion, there are two women taking drugs in one of the bathrooms.

Emetophobia:

If a Ventrue character drinks blood from a homeless person, a prostitute, or a rat, they will v* it. This can be avoided by either not playing a Ventrue or by being careful about who the protagonist feeds on.

In the hospital there is a red-headed girl in one of the rooms. She will v* blood when the protagonist approaches her.

In the crackhouse as part of the pestilence quest, if the protagonist drinks the blood of the zombies they will v* it back up, complete with triggering noises. This can be avoided by not drinking any zombie blood in the crackhouse.

To get into the Giovanni mansion, the protagonist must talk to a couple standing near the taxi. After talking with both of them, the woman will begin to v*.

Eye horror:

Bruja players only: “Glass Eye” describes the injury that caused the protagonist to have a glass eye. The glass eye is not visible during gameplay.

A quest received from the owner of the White Cloud shop requires the protagonist to take a pair of eyes from a dead body. This quest is not required to complete the game.

The final poster reward from Gary’s poster quest is a poster of a woman without any eyes.

In the Sabbat hideout there are people standing around with empty eye sockets.

Ghosts/spirits/demons:

At the haunted house the ghosts are poltergeist-like, causing things to be thrown at the Player Character, lights exploding, etc. The ghosts also appear to the Player Character throughout the house. This quest is required to complete the game unless you use the console.

The explanation for bloodlust in the game is the Beast, a force within all vampires that drives them to become monsters. This is implied to be some sort of supernatural force.

In the Library quest (available in the patched version of the game) there appears to be some sort of satanic ritual happening in the basement.

Incest:

A loading screen and dialogue options mention that incest is common amongst a certain family.

It is revealed that two sisters were sexually abused by their father.

Insects:

The final boss of the Sabbat hideout has an insect-like fighting form. He only has two eyes and his body is human.

Jump scares:

On the haunted house level there are multiple scripted jump scares. This includes people appearing out of nowhere and running at the protagonist, lights exploding suddenly, and things crashing down from the ceiling suddenly. This quest is required to complete the game. See the start of the post for how to avoid it.

In the museum by the stairs there is a giant T-rex head that will roar suddenly when approached.

At the internet café for Isaac’s movie quest, monsters will suddenly jump out at the Player Character and attack. This begins after using the key on the door in the back room.

At the 609 King’s Way house, as well as the sewers section immediately afterwards, monsters jump out at the protagonist suddenly.

After defeating the boss in the Library, something in the elevator will jump out and attack the player character.

In the unofficial patch of the game, when the protagonist first arrives at the grand entry area it will be empty. If the Player Character goes to the first floor it will suddenly be full of enemies that will immediately attack. This appears to be a glitch.

The boss at the top of Lacroix's tower will teleport and reappear immediately behind the protagonist and attack.

Medical malpractice:

If the protagonist hacks personnel files in the hospital, they find out that one of the doctors has been sexually assaulting his patients. It isn’t shown in-game.

The audio diaries at Grout’s mansion show a doctor slowly beginning to abuse his patients. This can be avoided by not examining the tape recorders in the mansion.

The enemies in Grout’s mansion appear to be tortured patients. They have devices strapped to their bodies and faces.

Sexual violence:

It is revealed that two sisters were sexually abused by their father.

Male Gangrel history only: “Perv” implies that the player character was obsessed with women and would have sex with them regardless of their interest.

In the hospital the protagonist can hack personnel files to find out that one of the doctors has been sexually assaulting his patients. This is not shown in the game.

One of the vampiric abilities, “Seduction”, is sexually coercive. Seductive dialogue options are purple and marked with hearts.

Self harm:

In the hospital there is a red-headed girl that the player can choose to save. There is a reference to self harming the protagonist’s wrist, but no bleeding from the wrist is shown.

A character references having cut off his own arm. To avoid this dialogue the player must not click the “Tell me more about yourself” dialogue option with Mr. Gimble.

Stalking:

Male Gangrel history: “Perv” implies that the player character was obsessed with women.

Male Nosferatu history:  “Peeping Tom” implies that the player character would use computers to spy on women.

In a set of apartments, it is revealed that the security guard has placed cameras in all the apartments, is spying on the residents and is planning on stealing a woman’s underwear.

If the player chooses to save the red-haired girl in the hospital, she will later approach the protagonist and reveal that she has been stalking them, to be “helpful”.

There is an optional side quest that involves planting cameras in a woman’s apartment. The quest is received from the female Nosferatu in the Nosferatu’s lair. It is not required to complete the game.

There are several quests where the protagonist must break into others' homes. There may or may not be people home; if there are then the protagonist must sneak around to avoid being noticed.

Suicide:

The Malkavian power “Vision of Death” will cause the victim to commit suicide via strangling themselves. The power “Bedlam” can also possibly cause it. The player doesn’t need to use these powers.

In the haunted house there are newspaper articles detailing how a man killed his family and then killed himself. The article is required to be read to complete the game.

A character states that their father committed suicide, and blames their own sibling for it.

If the player completes the mission to plant cameras in a woman’s apartment, the woman will kill herself. It is not shown on screen.

Torture:

Several basements in the game contain torture implements.

The enemies on one level appear to be patients that have been tortured. They have torturous looking devices strapped to their bodies and faces.

On one level the protagonist will be subjected to a series of dangerous tests designed to kill them.

Undead:

The game revolves around vampires, who are by definition undead.

In the pestilence quest received from Strauss/Damsel, the final level in the crackhouse requires the protagonist to fight zombies. If they get too close they can grab the protagonist and begin to suck on their head. This quest is not required to complete the game.

The protagonist must fight zombies in the basement of the Giovanni mansion. The zombies here function the same way as the zombies in the pestilence quest above. This quest is required to complete the game.

There is an optional quest where the protagonist must prevent hordes of zombies from leaving the graveyard. The zombies are in various stages of decay, and moan.

Unreality:

If the player chooses to play as a Malkavian, the protagonist will manifest signs of mental instability, which lead to hallucinations, erratic speech and breakdowns. They will hallucinate people and things on the streets, talk to inanimate objects, and in the protagonist’s apartment the television will begin talking to them. The dialogue options for the player will have tilted letters.

Throughout the haunted house level ghosts will appear and disappear in certain places throughout the house. In addition, several rooms in the house are revealed to be illusions and will alternate between new and dilapidated. One room’s floor will almost completely disappear after the protagonist completes part of the quest. This quest is required to complete the game unless you use the console.

The Tremere Haven in the Downtown area is bigger on the inside than it appears due to the building being magically enchanted. The corridors twist and turn and the protagonist can end up where they started if they take a wrong turn.

Ending spoilers (who to side with) for drowning and claustrophobia avoidance:

Drowning: The drowning is present in the Ming Xiao ending.