If you liked
Tajuu Jinkaku Tantei Psycho
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...then you might like
The World Is Mine
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Many instances of unemotional brutality and gore are depicted in order to paint a bleak, nihilistic portrait of society with main characters changing drastically, taking on different appearances and playing a significant role as a renounced, perhaps respected influential character that dictates the future in humanity's changing standards of morals and what it means to be human. While both contain a heavy sense of realism, both also have lightly supernatural elements that are used to further develop its themes without the story seeming too fantasy which would make them seem incorrectly like comfortable works. They are unapologetic.