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According to director Ulli Lommel, the "autopsy footage" was actually a staged recreation using a combination of prosthetics and pig guts.
Based upon Gary Ridgway, the Green River Killer who was convicted of killing 48 women in the Green River area between 1982 and 1998.
Reuses the same sets that were used in Zombie Nation (2004) and Cannibal (2006).
The final film of Ron Robbins, who died shortly after completed the film.
"Gary Ridgway: Take a pee. Hedy: What? Gary Ridgway: Piss."