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The woman carrying this (often literally) hellborn spawn is usually an innocent, unwittingly 3d wiccan sex impregnated by the Devil himself, and the other characters have to race to prevent the birth or stop the child from becoming the ultimate Enfant undead impregnate Terrible.
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Occasionally this can result of a perfectly normal pregnancy. Gone Horribly Wrong pre or post conception, where the issue can be a mutant, Hybrid Monster, Undead Child or some other abomination. This trope can also overlap with.