The difference between individual horror and systemic horror is that the latter doesn’t require a single sadistic actor. It unfolds through laws, institutions, and social neglect, allowing people to participate in it without ever feeling responsible.

When entire governments, medical systems, and social structures engineer the slow (or sometimes rapid) death of those deemed unfit, it becomes administrative, rationalized, ignored. The horror is not just in the violence itself but in its banality—in the way it is hidden behind policy decisions, economic pressures, and cultural attitudes.

It isn’t about individual pathology but about a society’s self-image, its need to define who belongs and who is disposable.