Top similar games like Pale Cachexia:

A death march to the end of the world. Can humanity's lost future be reclaimed?

A dark, dramatic medieval visual novel. On a stage at the boundary between life and death, an actress struggles through her hardest performance—directed by a jester, she relives her past for the the prize of resurrection...

Argumentum ad culpam is a gothic visual novel about the world of eternal agony. A capricious dance of principles and death. Take part in twisted battles of wits, where morality is only a tool for survival, and decide what future that world will have.

A suspenseful visual novel game about a male-female buddy who must solve the mystery of a "living corpse" in a 19th century-style alternate world.

A lesbian / yuri romance story with mild horror elements set in the rainy English seaside town of Scarborough. Our heroine, Aspen, meets the mysterious, beautiful Althea in the dead of night, but who is Althea really...?

A dark lesbian / yuri gothic romance tale set in Victorian England, in which an anxious governess is aggressively pursued by her unruly, tempestuous pupil.

Home is where your body is. And like any good tourist trap, Siren’s Call will do whatever it can to keep you there as long as possible. They will drag you down like crabs in a bucket. They will make this place your home. (This is a free beta for Siren's Call: Escape Velocity)

Isabella, your classmate, is someone you were never close to but someone you certainly noticed. One day however, you notice that Isabella stopped coming to class. You start to discover how important you were to her despite never even having a conversation with her before.

音楽アルバムを楽しむように7つのゲームを体験しよう。「死と生」をテーマとするダークで神秘的な世界観と、ミュージックプレイヤーをモチーフにした独特なゲームシステムが特徴のオムニバス作品。

You have the opportunity to become the husband of the Goblin Baroness. But what are your chances if this love is a sham?

A Boys Love visual novel with branching plotlines and two love interests. Features beautiful CGs and sprites, and top-notch voice acting throughout the game.

Seventh Lair is a short visual novel featuring some cast members of The House in Fata Morgana. It exists in a parallel universe to the original game, so can be enjoyed even by those unfamiliar with it.

A surreal, coming-of-age visual novel set in early 2010s Central Florida, "Siren's Call" is the small town you swore you'd always leave. Something inside of you knows that this is your last chance. Will you reach escape velocity?

REFLEXIA's story starts out as a parody of its genre and ends as a psychological drama.

A golden dream, and a closed world. A spiral staircase into the garden of the mind. What lies beyond gilded wonderland?

Hundreds of years later, humans and Heflites coexist on a hidden planet near Earth. Finding a mate is the goal, but will something like that really help her break free from the deep darkness she experienced as a child? "...This feeling...is not an obsession..."

Shion's calm and measured life comes to an end when she meets Akiko. This encounter has the chance to change her life or plunge it further into the abyss of depression and hopelessness.

A dark magical girl VN that takes place in an Alice in Wonderland inspired world.

A visual novel about identity crisis, friendship and growing up. Spread your wings, after the summer sky.

Gloom and Doom is a visual novel throwback to 90s slacker movies - complete with the solitude and sarcastic retorts - but with a supernatural twist. Push a powerful but unmotivated wraith to complete his stagnated quest to enter heaven, while trying to kill the suicidal but unkillable Doom Bringer.

Graveyard Girls is a halloween-themed yuri visual novel about complicated grief and overcoming hardships. Collect Elle’s “scribbles” to learn about her struggles, befriend a mysterious girl, and have a conversation about death.

Sanctuaries. Secrets. Serious consequences. A solo-developed psychological horror/drama visual novel.

This is the remake project of REFLEXIA Prototype ver. that still starts from pantsu jokes and ends with depression.

Echoed Memories is a dark psychological love story, with character development, understanding and acceptance at its core. It holds a balance of bright and cheerful to emotional and depressing, and follows the protagonists as they come to terms with their traumas.

An archaeology student is sent to do his summer training in a place far away from civilization. There he meets three beautiful girls who share his passion for cinema and art. What can possibly go wrong?

An indie horror game from a first-person perspective where the player explores a mansion through the use of puzzle-solving, finding specific items and trying to avoid unknown dangers. The particular focus of the game is atmosphere, mystery and scares as well as continual story development.

첫눈이 내리던 날, 나는 그녀에게 첫눈에 반해 첫사랑에 빠졌다. 첫눈이 내리는 나날들, 나와 그녀는 점점 가까워지는데... 스무 살 주인공의 첫사랑에 관한 풀보이스 비주얼노벨.