Creepy Surreal Shmups..

[kaicooper]

How in the world could I forget about Gaia Seed!

WOW there's many amazing games i never heard of before
give me more guys

[pegboy]

Blazeon for the snes definately fits the bill for creepy and surereal...not sure if id call it good though. Arcade version looks a lot better.

[o.pwuaioc]

Abadox should be mentioned. Flying sperm? Yes please!

Gradius has my vote, too. Gradius is quite possibly my favorite mega-series (i.e. especially taking into account games like Scramble, Life Force, Salamander, and Nemesis). I wouldn't like it as much (though would still rank it way up there) if it didn't have the atmosphere it does.

[Floob]

DeathSmiles?
https://www.youtube.com/watch?v=oMXutlGf9NU

[MommysBestGames]

Definitely my favorite category. Some good new stuff in there I've not heard of, thanks for listing! Not a auto-scrolling shooter, but the arcade version of Alien Syndrome has some excellent bosses, in terms of surprises and grossness.

[Stevens]

I don't know if I would call it a shmup in the strictest sense, but has anyone here played Compromised on the 360? It might be on Steam too.

It is more of a run n gun/shooter hybrid like In the Hunt since you control the scrolling. I remember enjoying it a lot when it came out. Fits creepy and surreal:)

MBG - There is a pretty decent twin stick version of Alien Syndrome for the PS2 on Sega Ages.

[professor ganson]

Shikigami no Shiro I. The first game in the series is creepy and surreal, no doubt about it. The others in the series have a different vibe.