Extreme Painist by james1236 is a very hard version of Pianist where your goal is to survive 4 pieces separately as long as possible before losing or even possibly finishing the piece.
The mechanics acts the same as Pianist but the tempo is high on those 4 pieces (300 BPM or 5 TPS with 6 columns on "Bach", 500 BPM or 8.333 TPS with 4 columns on "Boccherini", and 400 BPM or 6.667 TPS with 5 columns on "Mozart", "Beethoven", and "Debussy"), and theres a timer to see how long did you survive before making a mistake or finising this piece.