Psychosis (Paranoia in Japan) is a side-scrolling shooter video game developed by Naxat Soft and published by NEC for the PC Engine/TurboGrafx-16.
When released it was praised for its colorful graphics and original backstory.
This force, "The Devil Ugar", plans to make their mind his own, but the player's character will not give up without a fight.
The player used their mind to create the vehicle that will travel through their conscious and subconscious to win back their sanity.
The first is the intermissions and game over screens where an imp will curse at and flip off the player in the Japanese but waves a finger in the US.