The Tome Room screams come from Eternal Darkness: Sanity's Requiem, the 2002 GameCube survival horror game developed by Silicon Knights and published by Nintendo. The track was composed by Steve Henifin, the game's score composer, and plays in the Roivas mansion chamber where players recover the Tome of Eternal Darkness. Long after the game's cult following kept its sanity effects famous, the isolated track circulated on soundboard sites and soundtrack uploads, where horror creators adopted it as a ready-made dread bed for edits, streams and Halloween content.