If there's one technique that's tried and true in the world of horror, it's the jump-scare. What makes a really perfect jump-scare has to be so much more than just a sudden spike in volume - instead if the ebb and flow of tension has just reached something of a lull or ponderous moment and both the protagonist and player are relaxing for just a second, that's the perfect time to strike. One of the things that's totally endemic to its time period and the very technology it was conceived on is Scissorman's first appearance, with a stark and piercing MIDI sound-cue blasting out your speakers just as your trying to investigate a hanging corpse. It's easily one of the scariest moments in gaming history, and as the Clock Tower sequels would switch up who was behind the blades, it's this first appearance that endeared him so dearly to so many. https://www.youtube.com/watch?v=anYuJgbS3B8#t=192