I think the most gruesome PC game of all times is Manhunt (I still didn't play Manhunt 2).
I didn't play Postal 2 very much (but it's pretty violent too), and I didn't play Soldier of Fortune 1 or 2 at all.
Also, there is a small part in Quake 4 where a machine cuts your limbs and opens your stomach. Hideous.
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