Here's a couple weird ones that I have seen while doing U.S. Jepp revisions:
(PVU) Provo, UT ILS Y and Z. They look like nail-biters.
(VDZ) Valdez, AK LDA DME-C. Better sit down with a cup of coffee and study all the little details on this one.
(PACZ) Cape Romanzof LRRS, AK NDB-2. This one is weird - sort of a head-scratcher until you study it for a bit.
In my humble opinion, the grand champion of oddball approaches are at UHPP, Petropavlovsk-Kamchatsky, Russia (The company I used to work for had a complete international set of Jepps sitting in the office, so we would go thru them and find the really freakish ones)
Wish I could say that I've actually flown some of these...
Wang