A work of art with grim or ghastly atmosphere. Macabre works of art or fiction tend to emphasize the details and symbols of death. Danse Macabre or the "Dance of Death" works of art tend to depict the dead or Death itself summoning representatives from all walks of life to dance along to the grave. They were created to remind people of the fragility of their lives and how vain the glories of earthly life are. It is believed to originate from illustrated sermon texts.
"An evil spirit with the same name as the Death appearing in medieval oratorios. It is truly Death itself, with the power to lead humans to death in an instant. It is depicted as a skeleton with a black cloak and a sickle to reap humans. It dances the feared "Dance of Death.""
He first appears as a boss enemy in Sector Bootes inside Mitra's Tower, where the Protagonist needs to defeat him, after beating Norris and meeting Mastema. In Sector Carina, he becomes a normal enemy.
Shin Megami Tensei IV
"An evil spirit with the same name as the Death appearing in medieval oratorios. It is truly Death itself, with the power to lead humans to death in an instant. It is depicted as a skeleton with a black cloak and a sickle to reap humans. It dances the feared "Dance of Death.""
—Shin Megami Tensei IV Compendium
Macabre first appears as part of the challenge quest Dance of the Dead as part of an Horde known as "Calamity Horder", and the one is tasked with defeating 5 of these hordes. After slaying 5 of these, the Fiend David appears to be battled, and after their defeat, the quest is completed.
Later, Macabre appears as a regular encounter in the Shinjuku area, being found regularly in the Golden Gai and Kabuchiko-Cho areas.