In "The Tell-Tale Heart" by Edgar Allan Poe, the author creates suspense in paragraph 4 primarily:
D By describing the narrator's anxiety and fear.
The narrator's heightened emotions and obsessive thoughts contribute to the overall tension of the story, making the reader feel the suspense as the narrator prepares for the murder. The focus on the narrator's mental state amplifies the emotional intensity and uncertainty, engaging the reader's anticipation of what will happen next.