Realizing that the ghouls in Fallout 4 weren't creepy looking enough, someone has decided to make them look even more hideous by releasing a mod for the Bethesda RPG. While there are some scary open-world post-apocalyptic games out there, the Fallout franchise is not often counted among them. Sure, there are pretty unsettling things about them, such as the Deathclaws or the terrifying implications of a nuclear war, but there's not a constant barrage of horrifying elements. Even many of the ghouls, for the most part, are friendly and just another part of the world.