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This study investigates the psychological impact of viewing user-generated content depicting extreme real-world violence. Eight threads were harvested from a publicly accessible online discussion forum in which people discussed their experiences of witnessing real-world torture, maiming or death online. Reflexive thematic analysis was used to systematically analyse these threads. The themes capture the contradictory ways in which people react to viewing extreme real-world violence online, with some finding it intensely distressing and others using it as a resource for psychological grounding or (perceived) strengthening. Based on this analysis, we highlight pathways that may lead to the cessation or continuation of viewing such content and argue that greater research on this seemingly common but under-studied experience is warranted.