Madhouse (1981)

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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".