Spec me a scary game :D

Doom 3

Even if you played it way back it's still good. Especially as it can be easily maxed out. Set asside an evening, get the headphones on and turn the lights off :) not that scary but has a lot of "BOO!" moments
 
As others have said: Call Of Cthulhu: Dark Corners of the Earth.

Also, the Cradle level in Thief 3. It was the first time I've been so scared I couldn't think straight and forgot that you could attack the enemies. i was too afraid to go near them, and did the whole level without weapons. I like to think that's hardcore, but in reality I was bricking it totally.
 
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