Helmed by legendary producer/director Ovidio Assonitis, the man behind such cult favourites as The Visitor and Piranha II: The Spawning, Madhouse is a crimson-soaked tale of sibling rivalry taken to a terrifying and bloody extreme.

Julia has spent her entire adult life trying to forget the torment she suffered at the hands of her twisted twin Mary... but Mary hasn t forgotten. Escaping hospital, where she s recently been admitted with a horrific, disfiguring illness, Julia s sadistic sister vows to exact a particularly cruel revenge on her sibling this year promising a birthday surprise that she ll never forget.

An Italian production shot entirely in Savannah, Georgia, Madhouse (aka And When She Was Bad and There Was a Little Girl) fuses slasher elements with the over-the-top excess of 80s Italian terror resulting in a cinematic bloodbath so gut-wrenching that the British authorities saw fit to outlaw it as a video nasty .

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