Nephandum
An Italian-language dark fantasy / horror RPG¸ using the D20 system¸ later translated into English and released by Mongoose Publishing. Set in a fantasy world where five dark cosmic entities rule over five different aspects of fear: Disease¸ Madness¸ Blood¸ Darkness and Savagery. - A description from https://darkshire.net/jhkim/rpg/encyclopedia/ with kind permission of John H. Kim