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The track has since been arranged multiple times throughout the course of the Castlevania series and has become one of its most popular tracks to date.
- Castlevania: Dracula X - Arranged by Tomoya Tomita, Masanari Iwata, Harumi Uekou and Masahiko Kimura.
- Castlevania: Symphony of the Night (Sega Saturn version) - Arranged by T. Ohsono, J. Karashima and Kaoru Okada.
- Castlevania Legends - Arranged by Kaoru Okada and Youichi Iwata.
- Castlevania (N64) - Can be heard in Mysterious Coffin. Arranged by Masahiko Kimura.
- Castlevania: Legacy of Darkness - Arranged by Masahiko Kimura.
- Castlevania: Aria of Sorrow - Arranged by Michiru Yamane (there's a trace of the melody in "Epilogue", the Ending 2 theme).
- Castlevania: Lament of Innocence - One of the quotes of Bloody Tears can be heard in Admiration Towards the Clan at the 2:07 mark.
- Castlevania: Order of Shadows - Bonus song.
- Akumajō Dracula: The Arcade - Used in the battle with the Dullahan.
- Castlevania: Harmony of Despair - Maria can attack her enemies with the skill Hymn and will also sing a part of the song at the same time. Additionally, to get the Secret Item Crown, the player needs to play a part of Bloody Tears on the piano on Chapter 2.
- Trevor Morris arranged "Bloody Tears" for the Castlevania animated series. It is featured in season two's episode seven, "For Love".
- Castlevania: Grimoire of Souls - The arrangement in Dracula X Chronicles is reused in this game.
Additionally, the track has been used in the following non-Castlevania games:
- Wai Wai World 2: SOS!! Parsley Castle - Second theme of the Castlevania stage.
- KeyboardMania 2nd Mix - Contains a medley of Haunted Castle songs, including Bloody Tears.
- DanceDanceRevolution: SuperNOVA 2 and later arcade installments - Contains the IIDX remix of the song.
- beatmania IIDX 13: DistorteD and later arcade installments - Contains the IIDX remix of the song.
Appearances of the concept throughout the series
- In Haunted Castle, a large portrait of a woman (presumably of Selena) in Stage 3 will shed a tear of blood as the player passes by. This was probably the first time the concept visually appeared in the entire series.
- Carmilla's mask is often seen crying tears of blood from its left eye (or eye socket) in many of its appearances throughout the series, starting from Castlevania II: Simon's Quest, which in some occasions are used as a form of attack.
- In Castlevania Chronicles, a giant statue of the goddess Athena in Stage 4 constantly sheds tears of blood; each time a drop touches the ground, it will transform into an indestructible Red Skeleton.
- Statues of saints (presumably of Virgin Mary) can be seen crying tears of blood on the hallways of Castle Proserpina in Castlevania: Bloodlines.
- In a cutscene of Castlevania (N64) and Castlevania: Legacy of Darkness, the statue of an angel starts shedding copious tears of blood as the player approaches it. From the puddle that forms on the floor a new enemy then emerges: the Blood Jelly.
- In Castlevania: Aria of Sorrow, an item was introduced called the "Tear of Blood" which raises several stats.
- One of Medusa's attacks in Castlevania: Lament of Innocence is to shed tears of poisoned blood.
- One of Wind's quests in Castlevania: Portrait of Ruin is called "The Statue's Tear" and consists in asking the player to find a statue of Virgin Mary in one of the portraits. When the player interacts with said statue, it will shed tears of blood and an item called the "Statue's Tear" will be obtained, which must then be brought back to Wind. The reward for completing this quest is Jonathan's Holy Water skill.
- In Castlevania: Lords of Shadow, Zobek says: "Poor, beautiful Carmilla, you will cry bloody tears before this night has ended!" before Gabriel fights Carmilla in the Throne Room.
- In the Castlevania animated series, Dracula is seen shedding tears of blood when he grieves his wife Lisa's death. Likewise, a defeated Carmilla is seen shedding a single tear of blood right before meeting her end in one of the later episodes.
- The concept of religious imagery weeping tears of blood or presenting stigmata –believed to originate from supernatural means– are widely known phenomena often associated with divine miracles, especially in Catholic beliefs.
- The name of this theme could be a reference to the classic Hammer "Dracula" horror films, where Count Dracula (portrayed by Christopher Lee) is sometimes seen crying tears of blood.
- The introductory segment in Bloody Tears bears an uncanny resemblance to the 1985 song "Marching Out" by renown heavy metal guitarist Yngwie J. Malmsteen. The song predates the release of Castlevania II: Simon's Quest by two years, making both products relatively contemporary. Konami is well known for making numerous references to rock music in their games.
- There is a common misconception that the Perfect Selection Dracula Battle version of Bloody Tears was performed by Gothic Metal band Cradle of Filth; however, this is not true, as it was arranged by Naoto Shibata.
- Main article: Castlevania (animated series) Easter eggs: Bloody Tears