
Psychological horror (as a music/style of scoring) uses sound to destabilize the listener’s sense of safety and to suggest inner turmoil rather than external, monster-on-screen threat. Instead of relying on loud "stingers" alone, it leans on ambiguity, silence, uneasy timbres, and subtly shifting textures to evoke dread, paranoia, and obsession.
Common devices include lullabies made uncanny, breath-like drones, dissonant clusters, and noises that blur the line between diegetic sound and score. Classic examples range from Krzysztof Komeda’s nursery‑rhyme theme for Rosemary’s Baby—sweet on the surface, sinister in context—to game scores that weaponize quiet, space, and industrial ambience to mirror characters’ fractured psyches.
Sources: Spotify, Wikipedia, Discogs, Rate Your Music, MusicBrainz, and other online sources
American and European cinema cultivated a strain of horror focused on suggestion and psychology; the accompanying music drew heavily from modernist concert idioms (atonality, serialism, extended techniques) and sound design. By the late 1960s, Krzysztof Komeda’s score for Roman Polanski’s Rosemary’s Baby codified a signature move of the subgenre: a tender lullaby reframed as a harbinger of corruption—an approach that horrifies by implication rather than spectacle.
Filmmakers increasingly paired psychologically focused narratives with scores that prized texture over melody, often borrowing concert works (e.g., cluster writing, micropolyphony) or commissioning cues that sounded like them. Sparse pulses, aleatoric strings, and manipulated room sound became shorthand for obsession, guilt, and unreliable perception.
Survival‑ and psychological‑horror games advanced the language further. Akira Yamaoka’s Silent Hill 2 embedded “ma” (the Japanese aesthetic of meaningful pause/space) into the music–soundscape continuum, folding trip‑hop, dark ambient, and industrial noise into a score that alternates numb melancholy with abrasive dread; he has described scoring even non‑visual sensations (temperature, odors) to deepen immersion. The result cemented psychological horror’s cross‑media identity: less about jump scares, more about inhabiting disturbed inner worlds.
Today the style informs film and television soundtrack craft, trailer/production libraries, and narrative games, where composers deploy silence, off‑screen sound, and unstable harmony to keep audiences unsettled long after the scene cuts.