- Gradually intensifying the narrator's anxiety about the old man's eye.
- Using vivid imagery to describe the old man's appearance and the setting.
- Employing sound effects, such as the beating of the heart, to create a sense of tension.
- Building to a climax in which the narrator finally kills the old man.
All of these elements work together to create a sense of suspense and dread, keeping the reader on the edge of their seat until the very end.