Thanks for reaching out!
Well, I was aiming for maximum scary. The gore is taken to the furthest extreme possible WITHIN the pixel art style and scale the game is using. Like, this image is as bad as it gets, probably:
(Ordinarily I'd have spoilered this behind a TW but I don't think itch has spoiler tags.)
There aren't, for instance, scare screens where you see the same thing but in a more realistic style/at a much higher zoom and resolution.
I think jump scares are used in relative moderation. There are definitely a few in there, but it's not the main way I was looking to scare players, I was more focused on creating a holistically disturbing atmosphere and narrative. All of this is REALLY subjective though, and I do know I'm a bit of a gorehound into some pretty extreme stuff myself.
I'd say check out the Playable Teaser and if you can handle that, I'd say there's nothing *much* worse in the full game as it exists at this point.