Jump Scare: The game has quite a few, perhaps the most startling being the screaming female monster lunging past your bed right at the start of the final dream.While the camera normally always rotates to keep the ground beneath his feet, the final escape sequence of the game sees him fleeing for his life upside-down across a collapsing ceiling. Gravity Screw: The game's most commonly-used mechanic is Lloyd's ability to rotate the world around him, allowing him to walk up walls and onto ceilings.

Go into the Light: A non-death related example at the end of the game, Lloyd comes to a giant pair of doors which open to reveal a shining light beyond them which he walks into, presumably leading him to wake up.

Escape Sequence: The final dream sequence in the Caves is totally different to the rest of the game- rather than sneaking past enemies to solve mind-bending puzzles, it's a frantic flight for your life as screaming enemies pursue or shoot at you and the level collapses around you.

Eldritch Location: The game's settings look mundane enough at first glance, if a bit creepy, but can be warped and bent like a Rubik's Cube at your will by use of oddly-placed levers and handles, and sometimes connect to each other in impossible ways (like smashing a hole in the wall of a moving train and walking through it to find yourself in a cave).

Dual-World Gameplay: The Tower features a small amount of this, with Lloyd using switches to jump from the normal Tower to a frightening Womb Level.

Dream Within a Dream: Lloyd is never awake during the game the bridging sequences in the apartment he returns to after completing each dream isn't the waking world, but just another dream, in which he has to fall asleep again to proceed to the next one.

Dream Weaver: Lloyd is able to do things like walk on the walls because he's aware he's dreaming.

Collapsing Lair: The final sequence of the game in the Caves level forces Lloyd to flee for his life as the entire cave system seems about to collapse on him.

Camera Screw: One of the scariest sequences in the game requires you to solve a fairly simple puzzle where you have to move a peg to the center of a rotating disc maze while the camera unlocks itself and constantly rotates around 360 degrees to show you the monster slowly approaching from beyond the fourth wall, making it difficult to see the puzzle for more than a few seconds at a time as well as putting you under intense pressure.

Body Horror: The enemies with lampshades for heads that shoot you if you walk into their light, the living disembodied limbs Lloyd has to collect, and the wheelchair-bound creature with a tuba for a head which propels itself around backwards with the force of its off-key notes, among others.

Anomalous Art: A pair of winged statues at the start of the Crypt turn their heads to watch you as you pass.

All There in the Manual: Lloyd's name is never mentioned in the game, which has no dialogue at all.

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