Last year, Jetro Lauha made a contribution to the game development competition at Assembly 2002, a major demo scene event. The object of the game is to push a guy down the stairs, causing as much pain as possible. The game uses rigid body dynamics and was programmed in 24 hours. It even made the cover of Slashdot.
My current highscore is 60485 units of pain, by applying force to the right hand.