 If you liked
Elfen Lied
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 ...then you might like
Freezing
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Both are strange mixtures of blood and nudity. Both have a lot of violence. Women are the ones fighting in both. Both also have dark flashbacks/back-stories in them.
They both contain copious amounts of blood, gore, nudity, and violence. Lucy from Elfen Lied and Bridgette from Freezing are pretty much identical, in personality and appearance. Some of the faces Lucy and Bridgette make can be photoshopped off one character and placed on the other and the image would be identical. Both are good, if you don't mind all the nudity.
both have a horror ecchi genre to them and lots of bloody violence. Freezing is just a slight bit milder.
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Recommended by Mythical_Truth
They're not afraid to combine blood with naked females while a dark story goes on.
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Recommended by parallelle_slip
Elfin Lied and Freezing both have a similar vibe. Both have a pretty dark overall story, both main character girls have a sort of trigger to switch their personalities (even if it is way more apparent in Elfin Lied) and both showcase some sort of nudity.
Also the main guy in each of the animes are important and are probably technically the main character, yet they really are much less noticeable.