How does Bloodborne do cosmic horror so well?

Lovecraft's work left behind a genre that continues to fascinate, but only a few games seem to understand how it works.

Screenshot from Bloodborne, with a hunter standing in front of a gothic township and twisted trees.

Bloodborne opens in a dark room, with the player lying on a doctor's examination table. A silhouetted figure in the darkness speaks of blood and mysteries to be solved, and a contract to be signed. Even when he rolls into the light, his face is obscured by hair and bandages. The player passes out, and wakes to a nightmarish world plagued by desiccated werewolves and tiny, pale messengers with sideways mouths. But we never see the world outside this bad dream, so maybe it was always like that.

Cosmic horror is difficult in any medium. By definition, the genre is concerned with the unknown and unknowable, the idea that the reality we take for granted is a tiny box that exists in a grander, more terrifying universe. Lovecraftian stories invite us to think about what makes us most uncomfortable, and discover everything is many, many times worse than we could have ever imagined. Good cosmic horror is characterised by a certain sense of hopelessness in the face of unrelenting and incomprehensible forces that exist at a scope which makes humans less important than the dust in their lungs. But it also walks a knife edge, presenting stories in which characters are always seeking that unattainable knowledge, looking for answers, believing that a mystery can be solved and everything can finally be okay. Comic horror is about struggling, even when the robots say resistance is futile, even when the cultists finish their chant and the sky opens, even as they lock the door to your padded cell.

Many, many games attempt to tell stories inspired by Lovecraft. Almost all of them fail, by virtue of misinterpreting the genre or by failing to create mechanics which support such a theme. You can't just put insanity, fish-men, cults and monsters in a blender; horror based on intellect requires an intellectual approach.

No game understands the contradictory interplay between the known and the unknown of cosmic horror better than Bloodborne. What begins as a gothic adventure as obsessed with blood as Castlevania and as keen on hats as Abraham Van Helsing slowly and expertly peels back its own skin to reveal darker and darker truths underneath. Bloodborne leads players down so gradually and with such sweetness that you are likely to have a moment, far too late, that leads you to wonder how things got quite so bad on your watch.

A shot from the Old Hunters DLC for Bloodborne, with an enemy hunter drunk on blood standing near a river of blood.

What Bloodborne also sees in the genre, more than any other game using these themes, is the need for hope.

Players, like the protagonists of a cosmic horror story, need to believe there is a reason to keep struggling. They need to see a way forward, even if the path is made of eyes and the moon that lights their way turns a sickly orange-red. Which is why every tiny mechanical choice in Bloodborne works in service to that goal, as the world itself sprouts segmented legs and the flesh falls from its cursed bones.

In the opening alone, you see the perfect setup: a nameless, faceless figure sets up the existence of a mystery, sending you in the direction of further knowledge; character creation is tied to the signing of a contract, which unambiguously positions the player as making a choice to experience whatever comes next. You are very explicitly asked to shape your whole experience around this conscious desire to unravel the mysteries of Yharnam. This is key to the cosmic horror experience, characters frequently reach a point where they could easily back away from the shadows ahead, but instead they move forward. It's akin to the broader horror trope of the teenager entering the clearly-dangerous haunted mansion, except the cosmic horror protagonist enters mind open, seeking. After a scene involving monsters big and small, the game gives players control and situates them inside a familiar setting: a medical clinic.

Familiar, yet different, of course. Everything in the early parts of the game is a creepier, more unsettling version of something at least passably recognisable. The townsfolk are townsfolk, although they seem far too violent and too tall; the buildings are impossibly tall as well—arranged as if they grew organically from a central point—but they recall memories of real-world gothic architecture; werewolves feature prominently among the city's threats, but their fantasy origins are already well-entrenched in the public psyche, meaning they are, for a scary story, a form of expected occurrence. Because of this groundwork, placing the familiar among the unsettling, when recognisable aspects fall away it feels all the more horrible. When the werewolves slowly become discoloured and eventually mutate into twisted flesh marionettes, a memory of a wolf but burdened with extra human arms and legs where none should be, we remember what they used to be, and the dread of realising how far from reality we've drifted is brought home.

A large beast attacking a hunter by moonlight in Bloodborne.

But you have to get there, first; keep your spirits up long enough to get to the cold, unfeeling end of the world. One big way Bloodborne does this is with FromSoftware's skillful use of shortcuts. Exploring the world can be a confusing and daunting experience, since the geography of Bloodborne's universe is only Euclidean because the PlayStation demands it. When players head down a stray alley, or jump from a hidden ledge, only to catch an elevator back to an earlier location, the euphoria is a direct response to the dark and pointless world surrounding them. You're not just excited because you unlocked a shortcut, you gouged the smallest, brightest nugget of hope out of the impassive wall of nightmares blocking your path.

Finding a shortcut in Bloodborne is a sign that progress can be made, even against the worst horrors. The game, despite its difficulty, wants to be explored, picked apart; it wants to be known. So it encourages discovery, and the foolish cosmic horror protagonist, buoyed by their meagre success, slips a little further towards madness.

The game brings otherwise mundane mechanical aspects of the experience and ties them to the specific needs of the genre. Healing is accomplished by consuming blood vials, used in what Yharnam refers to as "blood ministration," meaning that with each use the player is being drawn in and becoming a part of the town. Using the Madman's Knowledge item, encountering bosses, or witnessing other important game events gifts the player with insight, a consumable resource that can be used not only to help with certain character stats, but also to warp the world. Previously invisible creatures appear in all their mind-burning glory, inanimate things come to life, new enemies begin to crawl in. Active participation in the world of Bloodborne is mandatory for all of this, and the many positive and negative results of this provides another intoxicating push.

Many of these mechanics have familiar counterparts in the other Soulsborne games. But where a game like Dark Souls provides them as tools to survive in a harsh fantasy world filled with dark creatures, Bloodborne makes it very clear that every action you take as a player is weakening your tether with reality. Knowledge is dangerous, fear is justified, and ignoring those ideas is a choice you are making. Even From Software's penchant for leaving world-building to be discovered rather than gifted to the player is a service to the cosmic dread. Learning about how the mechanics and items work, examining the bosses and enemies, is necessary to play the game, but is also inviting further decay into the mind.

The astral clocktower in Bloodborne, set against a strange purple and pink sky.

Cosmic horror is often shorthanded to large space monsters with face tentacles and madmen screaming in spooky asylums. But the core of the genre is far from the vast, unknowable intelligences that oversee reality; at a human, knowable level, it's about the feeling that something isn't right. That it will never be right. Cosmic stories aren't nightmares, they are realities you wish were fantasy, curtains you wish you had never pulled back. They're the niggling feeling that you could know more about the world, and the knowledge that you shouldn't. Where other games unceremoniously slot in Cthulhu-adjacent monsters and sanity effects, Bloodborne is content to be the slowly spreading smile on the lips of a helpful doctor. It sits, confident in the horror that exists below the surface and perfectly fine with the idea that you might never get far enough to see it.

The fingers were always there, softly stroking your forehead.

Perhaps there's a little Lovecraftian DNA in every FromSoftware game. Each of them asks players to trust the game to lead them to something interesting, slowly absorbs them into the world, teaches them secrets that are incomprehensible to an outsider, and leaves them not viewing anything in quite the same way afterwards. A hunter is a hunter, even in a dream. And there's no way back.