Which mods do I need to play in the most surreal and brutal way possible?

I play the game via Steam. Which mods do I need to make the game as realistic, bloody, and brutal as possible? I’m looking for the best gore and blood mods, and ideally one that makes NPCs scream when I injure them so I can really tell they’re suffering. My favorite VR game is *Blood Trail*, but it eventually gets a bit repetitive because there aren't enough weapons. That’s why I need to switch back to *Blade and Sorcery*. So, what mods can you recommend? Thanks in advance.