Have you read Kamisama ga uso o tsuko? Aku no Hana is another coming of age type of story as well. Are you looking for manga with plot similarities, or similar in its somewhat vague artsy direction and style? As far as anime gore goes, I'm not to familiar with it. Have you seen the basics: Berserk Higurashi no naku koro ni Elfen Lied Hellsing/Hellsing Ultimate There are also series like Claymore Deadman Wonderland Attack on Titan That one anime where a guy had to fight a grizzly bear in a cage match for some reason Terror for Mars Bokusatsu Tenchi Dokuro-chan Btooom Blood (the last vampire, +, -c) I think even stuff like Corpse Party may have an anime ova now. There are a ton of series that contain gore, but is it important to have it be a central focus? Either way this list should hopefully get you started.
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