Not so much gross, but I felt a bit sick hearing it the first time.
Ace Combat Zero
Inferno is a mission which basically is similar to the bombing of Dresden. Player escorts bombers as they (The bombers) bomb a civilian city. (Hoffnung, targeting "Weapons factories", but priority is destruction over accuracy) The "Horrors of war" are in full effect here as the city is quite literally saturation bombed, cruise missiles hit buildings, + the enemy soldiers there set fire to the buildings as they leave in scorched earth tactics. To progress the player has to attack military targets, enemy fighters, AA guns and SAM sites, APCs, etc.
If the player is feeling particularly cruel or doing a mercenary run (Could be compared to Undertale's genocide route) they can attack all the yellow (civilian/non-combatant) targets, which include fuel tanks, factories, a C-130 implied to be carrying wounded troops, medivac choppers, ambulances, tents, etc.
The game pulls no punches, shortly after you start dropping bombs or shooting missiles on the industrial sector you hear a factory worker shout "A BOMB HAS JUST HIT SECTOR C! IT'S GONNA SET OFF THE FUEL! *explosion and sounds of flames* HRURAAAAAAA-*cut to static for a few seconds before the transmission ends*"
I felt a bit sick the first time I heard that during a mercenary run (My first playthrough) especially because I realized throughout the campaign I was typically attacking yellow targets whenever possible (Windmills, damaged enemy aircraft.) for extra points, and not really thinking about what was going on lore-wise, (I was blowing up civilians and stuff just because I'd get paid) and I found hearing the guy screaming as he gets blown to smithereens super jarring and unnerving.