 If you liked
Higurashi no Naku Koro ni
|
 ...then you might like
Dark Gathering
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Both series are horror and have grotesque depictions of the main characters while suffering. Also, the character designs are pretty similar to one another.
Both anime try, kinda unsuccessfully, to include specs of comedy in between incidents without interfering with the main plot or the horror aspect though.
Amazing gore and atmosphere in both.
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Recommended by Walter_White18