There's a weird Russian game called Умер Мужик (literally A Man Has Died, but it's more of a meme, so I don't think it can be adequately translated). It's about toxic masculinity ruining men's lives.
One of the players plays as the Man, everyone else take on roles of various Destructive Tendencies, like Aggression (they won't hurt me if I hurt them first), Independence (I can't trust anyone but myself), Coldness (emotions make me vulnerable), etc.
The game happens is several phases, starting from childhood to teenage years to adulthood, and in each phase several important events happen (mostly bad, like being outcasted, or having family issues, or getting laid off, but not all — there's at least falling in love).
During each event, everyone states what they think the Man should do. So, maybe the Man fell in love and everything is good.... But Independence says "You know she is just using you, right? Don't give her any leverage, don't get attached. Or you will be hurt.", and Aggression latches on: "Yeah, and she's so cocky about using you too. Constantly bitching, and demanding stuff. Show her, who is the man here.", but the Man doesn't want any of it, he wants to enjoy the relationships while they last.
So they roll one d6 each, whoever rolls highest narrates what's gonna happen next and picks a Consequence (so, maybe the Man is now having troubles with sleep, or has anger management issues?).
The Man also has a Willpower resource to spend on rolling additional dice (thus, increasing his chances to get the things right), and fixing Consequences he've suffered.
The game ends if the Man survives through adulthood ("Congratulations, you're still alive. But at what cost?" — the game then asks) or suffers enough consequences and decides to end things, all the things.
Ok. Maybe this needs more explaining than what I can do from a phone with no spell checker, but I think this can be a GREAT engine for lovecraftian horror.