This study tests the theory of vivid media violence, exploring whether the presence of blood in a violent game and the use of headphones impacts emotions (frustration, fear, anxiety) and the level of cognitive elaboration. Results of an experiment suggest participants felt stronger negative emotions when playing a bloody game with headphones off. When the video game was not bloody, headphones did not affect emotions. In addition, frustration was related to cognitive elaboration whereas fear and anxiety were not. Implications for research exploring discrete emotions, as well as the intersection between auditory and visual features in video games, are discussed. (C) 2016 Elsevier B. V. All rights reserved.