Mods / Very Tough

• GGeoxor - Ephemeralby 7656119837657691523.5k downloadsupdated 5 y ago
• SSheet Music Boss - RUSH Eby Willow10.6k downloadsupdated 3 y ago
• Mmeganeko - Feralby 76561198863457524E-Z(?) It's not a scary map10.2k downloadsupdated 4 y ago
• XXomu, Hyurin, Mitsume - Gloxiniaby 76561198926432420This one is hard Sauce: Music: by Xomu: Mitsume: Hyurin: Artwork: www.pixiv.net/en/artworks/546311729.5k downloadsupdated 6 y ago
• Ssock.clip - Ballisticby LeoMassaFMUsing both Z and X is recommended for this chart.5.8k downloadsupdated 5 y ago
• CCamellia vs Akira Complex - Railgun Roulette (VIP)by 키위I made it without thinking.... can you beat it?4.9k downloadsupdated 6 y ago
• XXeno - Aigh Grayn (Nightmare)by 76561198816953342A dream inside a dream inside a dream inside a dream inside a- --- Untitled Team's Round 4 level, "Dream".4.4k downloadsupdated 6 y ago
• XXeno - Aigh Graynby 76561198816953342A dream inside a dream, inside of another dream? --- Untitled Team's Round 4 level, "Dream".4.1k downloadsupdated 6 y ago
• SShadrow - Shadeby bunnerCW - Implied abuse, explicit lyrics Mask CCs by DPS2004 Chart cleanup and some VFX work by Xeno Your patient has woken up from a nightmare and is suffering acute paranoia combined with hallucinations. Treat his heart until his doctor arrives to help. And remember, he's your only patient. =Warning...4.0k downloadsupdated 5 y ago
• Nnone - A Moral Quandaryby DPS2004Well, would you? GAME OF THE YEAR EDITION, NOW WITH EXPANDED CONTENT!3.9k downloadsupdated 3 y ago
• RRozebud - Madnessby SamarioSomewhere in Nevada, a new terror rises. This terror presents itself to the doctors with a <color=red>new challenge</color> to defeat... (Song from the Friday Night Funkin' Tricky Mod.)3.8k downloadsupdated 5 y ago
• KKAT & AkuP - Affection Addictionby 76561199129903228A Rhythm Doctor level for Affection Addiction by KAT!2.7k downloadsupdated 18 mo ago
• かかめりあ (Camellia) - KillerBeastby CV35WKILLERBEAST. Made for RDVS3. All art and assets used are made by me- if you'd like to use them in your own levels, please make sure to credit me as CV35W!2.7k downloadsupdated 5 y ago
• かかめりあ (Camellia) - KillerToyby 76561198863457524Oh My Good Toyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy!2.3k downloadsupdated 5 y ago
• FFLAVOR FOLEY - Human ft. SF-A2 Mikiby 76561198841054038Always waiting --- I updated the level!! fixed some typos and charts and cue sounds and fixed window size2.2k downloadsupdated 3 mo ago
• RRikri - 6.5 (Night Shift)by Rikrii'm very sorry1.9k downloadsupdated 6 y ago
• PPIKASONIC,なこたんまる - 海底列車by 76561199112625918海底列車 曲师：PIKASONIC,なこたんまる 谱面：Lyer-玄冬氨酸 物量：363 难度：噩梦 BPM：156 “为了能看到你想看到的世界” “今天也要牵着你的手” “无论沉入何处” “就算有人看着在海底奔跑的我” “大声嘲笑也没关系” “我仍想和你一起前行” 感谢三年来陪我一起走过的大家 今天虽然不是什么特殊的日子 但是我仍想感谢 你们的支持是我一路走下去的动力 能遇见你们 三生有幸 ——玄冬 本谱面包含： >少量轨道遮挡 >伪窗口移动 >可能对不准的歌词（我不会日语呜呜呜） >8拍（标红+音效） >开头X（有护士提示） >中段干扰拍（落拍点重合，可忽略） >歌词没采多少（不然难...1.7k downloadsupdated 2 y ago
• KKurokotei - Chronostasisby 76561199112625918Chronostasis 曲师：Kurokotei（黒皇帝） 谱面：苍黎@Chun Lee 观赏谱警告！ 观赏谱警告！ 观赏谱警告！ 本谱面包含： >血量低于40死亡 >快拍子 >大量8拍 >视觉干扰 >光敏癫痫警告 感谢游玩~OwO1.7k downloadsupdated 3 y ago
• かかめりあ (Camellia) - Crystallizedby 76561198378489953Inspired somewhat by the Beat Saber level of the same song.1.6k downloadsupdated 2 y ago
• かかめりあ (Camellia) - Hello (BPM) 2022by 765611988118879861.6k downloadsupdated 5 y ago
• かかめりあ (Camellia) - We Could Get More Machine Gun Psystyle (And More Genre Switches)by 76561198330324440Good luck! This level's mainly focused on hard charting and lyric improvement. Enjoy playing "We Could Get More Machinegun Psystle (And More Genre Switches)" by Camellia!1.5k downloadsupdated 4 y ago
• RRengoku Teien - Saigo no Requiemby 76561198830131721Remeber: 1-1-1-2-1. Or just listen to the cue, I guess. A song from the now shut-down website Rengoku Teien, All songs in the site were free for commercial use. However, if you recognize the references in this chart, you should reflect on yourself.1.5k downloadsupdated 5 y ago
• FFrums - one of noneby 76561198434866907Are you up for multitasking? PROMPT: Illusion CURSE: At least one row must be partly or completely obscured for most of the level1.4k downloadsupdated 4 y ago
• HHige Driver - Fire Templeby NocalliaPLEASE PLAY THE TUTORIAL (DELEG LAMA) BEFORE PLAYING. 4th Place in notRD Compo It seems like it is time for the test to begin. Proceed with caution, it can be a bit tricky... Credit to CV35W for a self-portrait.1.3k downloadsupdated 5 y ago
• PPlum - Sinkholeby 765611989839731121.3k downloadsupdated 5 y ago
• LLeonJD - Strike of Luckby 76561198816953342This round is worth 13x! Better make this one count!1.3k downloadsupdated 14 mo ago
• SShadrow - Laddersby bunnerGetting to the top of the charts is a combination of skill, catchiness, determination, and luck. Mostly luck. Cole guitar custom character by Xeno1.1k downloadsupdated 5 y ago
• AArdolf - Split EX (Instrumental)by 76561198846966040Split but night shift. dw guys he just got a better gaming chair1.0k downloadsupdated 5 y ago
• HHeaven Pierce Her (Hakita) - Sands of Tideby 76561199155694189"GOD DAMN THE SUN is the second mission/level in the GREED layer, taking place at ground level as the player is tasked with hopping across the dunes of gold dust which will burn them if they touch it. This is the level that introduces the Stalker, Sand mechanics, and the Sisyphean Insurrectionist...1.0k downloadsupdated 3 y ago
• RRinne - Witch Recordby 76561199246695428A fan-made level1.0k downloadsupdated 4 y ago
• CcosMo@暴走P - intense voice of samuraiby 76561199166485821two button rhythm game? i did not playtest this982 downloadsupdated 10 mo ago
• FFrums - Wavetapperby HishPASTMEANING PASTFEELING PASTLANGUAGE PASTTHEDESIREFORUNDERSTANDING929 downloadsupdated 3 y ago
• SShirobon - (ﾉ◕ヮ◕​)​ﾉ​*​:​･ﾟ✧ (feat. Protodome )by Willow(*・ω・)ﾉ Backgrounds by Fancybread862 downloadsupdated 3 y ago
• PPatricia Taxxon - 2X-N Bitter Times but now you need to hit the pulse beats tooby 76561198876125085i am sure it's way harder than original thx to the feedback, the standard has been lowered808 downloadsupdated 4 mo ago
• SSTOMACH BOOK - FUKOUNA GIRLby 76561198855850911CAUSE PRETTY GIRLS DESERVE TO DIE776 downloadsupdated 2 y ago
• かかめりあ (Camellia) - Flamewallby toaster_rtxFlamewall! My second level, please enjoy! Feedback is appreciated.756 downloadsupdated 4 y ago
• RRiya - Final Hopeby 76561199000826624My first level hope you won't hate it ;)751 downloadsupdated 5 y ago
• BBenNose - Ultra Battleworn Insomniacby PopEetTooYahThe virus has mutated once again and this time, it's a matter of life and death for the whole hospital. The patient must be treated ASAP.747 downloadsupdated 5 y ago
• RRozebud - Madnessby 76561198360808777Questioning your purpose and getting 0 answers can drive you to Madness... Anyway this is Madness but I charted to the Instrumental instead of the vocals. discord.gg/invite/rhythmdr auburnsummer.github.io/rdlevels/692 downloadsupdated 5 y ago
• かかめりあ (Camellia) - body f10ating in the zero gravity spaceby 76561198356505494689 downloadsupdated 5 y ago
• DDM DOKURO - Roar of the jungle dragonby 76561198796734864The air is getting warmer around you664 downloadsupdated 4 y ago
• Ccelesti whispers - 5-1M Unlucky Breakby 76561199440802000My first Rhythm Doctor level export. Hope you like it. (Might want to use both shift keys for this level)655 downloadsupdated 2 mo ago
• SSTOMACH BOOK (Vivian Weeks) - PAPER DOLLSby 76561199118850563Patient refuses to talk beyond necessity, and appears depressed in most altercations. Someone seems to be on their mind. (Shoutout to sul4 for making the og music video; it was a huge inspiration !!)606 downloadsupdated 9 mo ago
• SScraton - Time Crunchby 76561198806118254Level is inspired by "Learning with Pibby", aka.. get ready for some glitches! Good Luck! Woof543 downloadsupdated 5 y ago
• GGood Kid - Witchesby AphidWitches by Good Kid. I wish you luck.518 downloadsupdated 2 y ago
• Kkikuo - Sight, Noise, Life and the Earthby 76561199095057339This level is 38 minutes long! Please make sure you're well-rested and have plenty of energy before playing. ================ Playtesters BluPen , ddrr0077 , Layspark , Willow , WolfPlay013 ================ Thumbnail by BluPen, TNS ================512 downloadsupdated 5 mo ago
• HHeaven Pierce Her (Hakita) - Orderby 76561198834089924492 downloadsupdated 7 mo ago
• Ffizzd - Thank you for Playing my Gameby 76561199173025871A super tough Rhythm Doctor-ified version of Thank You for Playing my Game from A Dance of Fire and Ice. Don't play this if you aren't good at fast SVTs.489 downloadsupdated 4 y ago

141 very tough mods, most downloaded first. Each one has its own page here with what it needs to run and where its author publishes it; the files themselves stay with the author and are never re-hosted on this site.