Dreams involving life-and-death scenarios often reflect deep anxieties, fears, or moral dilemmas in waking life. In your dream, the game against a "crazy person" could symbolize a situation or person in your life that feels uncontrollable or threatening. The stakes of winning and losing suggest you are facing a difficult choice or conflict where you feel potential loss is unavoidable.

The element of watching loved ones die in a gruesome manner may indicate feelings of helplessness or guilt over not being able to protect those you care about. It could also point to a fear of losing connections or the emotional toll of a situation affecting your relationships.

This dream may be urging you to confront the challenges you're facing and consider the costs of your decisions. It might be beneficial to reflect on your current circumstances and identify any situations that feel similarly high-stakes or out of control. Seeking support from trusted friends or loved ones might also help you navigate these feelings. Remember, dreams often serve as a way to process our emotions and experiences, so examining your feelings related to this dream can lead to valuable insights.