Huddled together in bitter cold, they brought flowers Sunday and paid their respects at handmade crosses that dot the site of the 2003 fire for each person who died. Some cried and spoke of missing their loved ones and the difficulty of moving past such trauma.
"It's just very tough," said Walter Castle Jr., 39, a survivor who suffered third-degree burns in his lungs, throat and bronchial tubes.
The anniversary of the blaze is Wednesday. The fire broke out when pyrotechnics for the rock band Great White ignited flammable packing foam that had been installed in the club as soundproofing.
Castle said he lost many friends and was in counseling until 2009. Recently, as the 10th anniversary approached, he began having terrible nightmares and had to go back into counseling.
"People that weren't here really don't understand why we can't let this stuff go. I was 30 seconds away from dying," he said.
Last month, a fire at a nightclub in Brazil killed more than 230 people under circumstances that were eerily similar: A band's pyrotechnic display set fire to soundproofing foam.
Among those who spoke Sunday was former Gov. Don Carcieri, who took office the month before the fire and still gets choked up when speaking about it. He remembered the days families waited at a hotel for word that their loved ones' remains had been identified, and the anger everyone felt, asking how the tragedy could have happened. But he also remembered how people in Rhode Island, a state with a population of just 1 million, pulled together to help each other.
"At a time of our state's worst tragedy, in some sense, it was our people's finest hour," he said.
Angela Bogart, who was 19 when her mother, Jude Henault, was killed in the fire, said she has come to know and understand her mother more in the decade since she died, especially since she has become a mother herself.
"My mom lives in me in everything I do. I hear her voice wherever I go," she said. "When I walk hand-in-hand with my little girl, my mother is holding her other hand."
The ceremony also featured musical performances, a reading of the names of the people who died and 100 seconds of silence.
While somber, the annual gathering at the fire site took on a more hopeful tone this year than in years past because a foundation set up to build a permanent memorial secured ownership of the site in September after years of trying. On Sunday, the Station Fire Memorial Foundation released final plans for the memorial.
They call for a 30-foot-high entrance gate topped by an Aeolian harp. Wind passing through the harp will create music, a reminder that it was music that brought people together that night.
The permanent memorial will include an individual memorial for each person who died and commemorate the survivors, first responders and those who helped care for families of the dead and survivors in the weeks and months after the fire. It will also include a pavilion as a gathering place.
Families are being asked to remove the crosses and other personal mementos that have been left at the site at the makeshift memorial that has developed over the years. The items left behind will be buried in a capsule under an area that is now the parking lot. There will be no digging on the land under where the club once stood because of the fear of disturbing human remains.
While many of the materials and labor to build the memorial will be donated, foundation officials say they need to raise $1 million to $2 million to build and maintain it.
The foundation hopes to break ground in the spring. Construction of the memorial could take one to two years.
Gina Russo, who was badly burned in the fire and whose fianc was killed, is president of the foundation and said the memorial would turn the site into something beautiful.
"It's a happy moment going forward," she said.