 If you liked
Higurashi no Naku Koro ni Kai: Meakashi-hen
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 ...then you might like
Ibitsu
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You'll probably enjoy this if you like any of the Higurashi arcs, I just chose Meakashi-hen due to it having the closest level of gore in comparison to Ibitsu. Both series are quite creepy with an insane murderer and lots of blood and a high scare factor. Just be warned though, Ibitsu contains some images that some people may consider more disturbing than those in Higurashi, plus I personally found Ibitsu to be a bit scarier.
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Recommended by bizarrequazar
Both are short horror manga stories (ok, ok, Higurashi is a franchise of series, but it's separated in parts), specifically Psychological Horror and Splatter, there's lots of scenes with gore and acts of that kind, in both of the series there's a mistery, but the main suspect ends up being an obsessed girl in both, so there's the yandere aspect if you like those kind of characters, although you have to read Highrashi in order to appreciate it better or at least Watanagashi-hen which is a previous saga.
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Recommended by Fabrizio00