Music is not there for the character to hear, but for the player to know the character's mental and emotional state. But unlike with the pain and the physical effort of game characters, experiencing their internal thoughts and feelings by the player is often the intended result. That's the immersion.

Reaper of the Starless S...
Inside a deep abyss, a child wanders aimlessly.
Play List Description
Play List (default) Default Playlist
Princess Project The Project Invidia games
Gifts OMG I actually got gifts???
Notable Commercial Games
Games that make me squee Games that hit my favorite themes!
Techy Games Games I like from a conceptual/design/technical standpoint