Dread is a game where people die. Why not add to the atmosphere by using a Jenga tower as a replacement to dice?
This is a new video but not an new idea. Dread, published by The Impossible Dream, is designed to use Jenga rather than dice and won the 2006 ENnie for Innovation and was nominated in the same year for Best Game and Best Rules.
You can get yourself some Dread right here.