Hotline Miami, and its sequel, Hotline Miami 2: Wrong Number, are a pair of brutal top-down shooters. Each stage has you taking a gun and massacring a building full of enemies, usually in a highly gory fashion. The real adrenaline rush comes from how unforgiving the combat is-- one hit and you're dead. This means you need to think tactically as you move from room to room. Rather than rushing in, you need to pick your moments to take enemies out without getting overwhelmed.
As swiftly as death comes, though, it's just as quick to reset a stage. One button press after death and you're right back into it, ready to die gruesomely yet again. These are not games for the faint of heart.