Madhouse

Better made than almost anything else on the prosecuted list, and almost nobody has seen it.

Julia teaches at a school for deaf children. Her twin sister, disfigured by disease and institutionalised, escapes before their shared birthday, accompanied by a rottweiler.

Ovidio Assonitis shot it in Savannah and the location does most of the work: humid, green, decaying architecture, filmed with real coverage and a proper crew. The set piece in the empty school building is well staged.

There is a birthday dinner in the last act that is the strangest thing in the film and it is played completely straight.

Successfully prosecuted. Known under at least four titles. Passed 18 uncut in 2004.