How many healthcare documentaries have you seen that expose horrible wrongdoing or evil corruption? There is collateral damage when filmmakers use fear as the main call to action for viewers, especially when it dissolves faith in our healthcare system. Filmmaking is a powerful tool, and I believe that if you want to make a difference with the people who could impact change, give them a reason to believe they can, not just that they should.
When we started production in 2015 on our first medical documentary, To Err Is Human, our mission was to show the work done behind the scenes to make health care safer and more reliable. To help the audience understand the stakes, we shared some shocking statistics early in the film, but once established there’s no looking back. We ended up with nearly 300 screenings across 12 countries and many hospitals making bold commitments to improve their safety measures.
In late 2022, we were approached by the Jewish Healthcare Foundation (JHF) about their pursuit of a documentary that shows the role of technology and innovation on patient safety in medicine. We told JHF that the positive approach to documentary filmmaking was paramount to us—we are not in the business of blame and shame, as so many in our field are prone to do. If we are showing people how technology can make health care safer, let’s do just that.
For our new film, The Pitch, we introduce audiences to the heroes of healthcare. There is a macro problem in health care that stifles change, but we felt a unique opportunity to show what it looks like when people put forth the effort to break down the walls in front of them. Institutions highlighted in the documentary include Humber River Health in Toronto, Canada where a room of experts closely monitor data that comes directly from every patient’s bedside and the University of Pittsburgh, which uses groundbreaking genomic testing and machine learning tools to quickly identify infection outbreaks that commonly plague hospitals.
We also spoke with individuals such as a young entrepreneur on a mission to break through the many barriers that resist innovation in the frontier of patient safety. When the credits roll on our film, we know the audience will engage in a discussion that will likely end up there anyway, and I’d rather show them something they can’t see for themselves.
Audiences are not easy to find for documentaries. Some genres do have the benefit of a built-in target, like healthcare. With our film, the most direct impact is seen at the ground level with in-person screenings at hospitals, conferences, and healthcare organizations. Each one can be followed by a discussion, either planned or unplanned, that extends the 59-minute run time an extra hour and, if we leave the audience enraged and fearful, it’s less likely that they will have that discussion about what can be done to improve.
I know some would disagree with me. There’s no question that some of the most well-known documentaries of all time are aggressive exposés on the evils of the world. My point is that there is always an unseen price. In industries such as healthcare, documentaries have a unique ability to lift up those doing work that is often unheralded. Plenty of journalists will find the bad apples and the corrupt executives, but if you really want the system to pay attention and not shut the door on your message, make a film that shows what better looks like. I promise you’ll see key figures in the industry get behind it and share the film in a way that gets more viewers, and more importantly, more impact.
As indie filmmakers—especially in the genre space—sometimes we have to find creative ways to visually show off some crazy stuff. Heads exploding? Body transformation to bugs? Extraterrestrial predators disrespecting your boundaries and popping out of chest cavities?
You name it, we conceive it.
One of the great joys of movie making is conceiving how to pull off all this crazy stuff in creative and visually exciting ways. Some of the greatest horror directors in history have made a name for themself by mastering the craft of the greatest intricate, believable practical effects moments of all time (eh-hmmm, David Cronenburg).
Well made practical effects aren't just cool to watch, they're also an art unto themself, with professional special effects artists dedicating their entire careers to designing crazy set pieces for our viewing pleasure.
Practical effects (SFX) also typically hold up much better than digital effects (VFX) allowing us to revisit and still immersing us into the a world created decades ago. That's pretty cool.
Below, we've compiled a top 10 list of some of the most impactful special effects in horror history. While this list is certainly not definitive, it was carefully thought out by which movies have been the most influential or impactful in our current moviegoing zeitgeist. Some are 80s classics you'd expect, others are modern special effects masterpieces that have instantly found themself in the cannon. We try to keep it interesting!
Please enjoy, as well as check out some accompanying education on how some of these moments were conceived and translated to the big screen, as well as some complimentary double feature pairings for your viewing pleasure.
Editor's note: These are in no particular order. Sue me.
'Videodrome'
Oh man. Videodrome.
It wouldn't be a SFX "best of" list without nodding to the grandfather body of horror himself David Cronenburg. In most cases when you watch one of his films you can expect to see some sort of body deformation or head explode in some of the most gnarly, creative set pieces put to screen.
It was a tough choice which of his babies to elect for the list, but I chose Videodrome simply because I think out of everything I've seen it got under my skin the most. I mean, between a TV becoming flesh and James Woods literally inserting a VHS tape into his torso, Videodrome has it all, baby!
Special make up effects artist Rick Baker says it best when he states "we have to do some pretty disgusting things in this movie".
See also: The Fly (one of my all time faves and a masterclass in SFX in its own right)
'Terrifier' (Franchise)
Jumping from classics to modern, the Terrifier franchise has made a name for itself for its shameless gonzo splattercore ethos. With Terrifier 3 opening this weekend and tracking to blow out tentpole Joker: Folie a Deux, it's safe to say that Art the Clown has earned his keep amongst the big leagues of slasher fam.
Considering Terrifier originally made a name for itself precisely for its over-the-top practical effects, I feel like it's earned its keep amongst the big wigs of culturally relevant SFX icons.
See also: In a Violent Nature (another modern slasher with a shameless love of practical kills)
'Evil Dead II'
Sam Raimi made waves in the independent horror space with his certified classic, Evil Dead. If that wasn't enough, he did it again with the sort of remake, sort of reimagining of Evil Dead, Evil Dead II.
Writers Raimi and Scott Spiegel have famously said their approach to their sequel was essentially "what if we did the first one but bigger and funnier", and they certainly achieved that in spades. And what comes with bigger and funnier? More practical effects, baby. Between Ash fighting his hand and and claymation deadites, the in-camera master work still inspires filmmakers to this day.
It's groovy. It's just really groovy.
See also: Evil Dead (2013) (Fede Alverez went full-blown practical for his brutal remake and it elevates it to arguably the scariest Evil Dead ever made)
'The Substance'
The Substance
Mubi
Need I say more than "Monstro Elisasue"?
I will, because Coralie Fargeat certainly doesn't hold back leading up to her tortured creation. Between the procedural body horror of Margaret Qualley crawling out of Demi Moore's back to an unfortunate dream sequence with a chicken leg, The Substance is a no-holds-bared practical body horror masterpiece.
For more on the making of Monstro Elisasue, check out Vulture's super cool SFX breakdown here.
See also: Society (this arguably deserves it's own spot for it's flesh blending orgy scene, but we'll leave it here to pair for some nice "satirical comedy in body horror" tidiness)
'Re-Animimator'
Re-Animator is one of those movies that when I watched it for the first time I couldn't stop thinking about it for weeks. What starts as an innocently campy Lovecraft adaptation quickly escalates to arguably one of the most fucked up movies I've ever seen.
I wouldn't consider Re-Animator one of my favorites ever, but it's certifiably one of the craziest. Putting some of these set pieces into words is a little out of my comfort zone, so I'll let you see for yourself if you haven't already. That being said, it makes the list for its impeccably well-executed use of practical effects for lingering fear.
One of the best arguments for the dead staying dead there is.
See also: Color Out of Space (a great Lovecraft double feature. A family that rides together gets their flesh stuck together)
'The Blob' (1988)
The Blob is, dare I say, a perfect movie. Practical effects are more or less the catalyst of this remake to a (also very good) classic, elevated beautifully with its heavy reliance on practical guck.
If you still want to go into a phone booth or hospital after checking this out... Good luck, bub.
See also: The Stuff (a perfect double feature. Blobs and stuff? give me a better pairing)
'The Thing' (1982)
If this list was ranked in a particular order, The Thing just might take the cake for all-time best. The above video's title says it all—the effects are insane, and the amount of work and artistry that went into building this world is a masterclass in how to utilize practical effects to elevate your movie to elite status.
On top of that, it's also an amazing movie taking the idea of "hell is other people" to elegant shape-shifting extremes.
See also: They Live (while not crazy on practical effects, the creature design itself earns its keep as a great Carpenter practical effect-heavy paring. Plus, it rules—bubble gum or no)
'Nightmare on Elm Street'
No one does practical effects quite like Freddy.
Outright, Freddy Krueger's character design is one of the most iconic looks out of any slasher villain—can we think of a better example of a slasher villain with a classically distinguished look that isn't wearing a mask?
On top of that, Nightmare on Elm Street has the genius advantage of dream logic, where pretty much anything the filmmaker's mind thinks of (in this case our guy Wes Craven) goes. It's a playground of creativity the entire franchise utilizes in beautiful fashion, but the first is so good it set the standard for how to use practical effects to make a long-lasting classic with some of the most intricate practical set pieces out there.
Hell, Wes designed an entire rotating set to pull of a scene where he rains blood on his final girl in her bedroom. If that's not bad ass filmmaking, I don't know what is. Even despite the near of an electrician's worst nightmare (if you don't know what I mean, see above).
See also: Texas Chainsaw Massacre (considering Leatherface and Freddy Krueger are boys that match each others freak too well, this pairing goes without saying. Texas Chainsaw also happens to stand as one of the scariest movies ever made thanks to the practical flair Tobe Hooper added to the Sawyer family's entire space)
'Sleepaway Camp'
Sleepaway Camp
UFDC
Sleepaway Camp is one of those horror movies that got lost in the shuffle in the slasher boom and is rightfully getting more attention as time goes on. Crazy twist ending aside (that is also one of the best jump scares of all time), Sleepaway Camp is a movie that wears its affection for horror via practical effects on its sleeve. We love it for that.
If you're looking to know more about how it all came together, check out this awesome breakdown.
If you're reading this, Angela, please don't come after me next time I go camping.
See also: Pieces (a lesser known slasher that puts the "gnarly" in gnarly)
The 'Alien' Franchise
Alien
film-grab.com
The Alien franchise is one of the most consistently well-made, expertly crafted franchises out there—and much of that is due (and thanks) to the reliance on practical effects. The world building, the horror, everything. Alien is an all time classic, and the quality of H.R. Geiger's concepts made real by practical effects goes to show its lasting impression.
See also: Event Horizon (hell in space? It's practically rendered hell in space)
Honorable Mentions
Look, there's a lot of good stuff out there—we can't hit them all.
Sometimes, for the sake of organizing an intuitive top 10 list, you have to make some tough choices and leave out some gems. Whether they have a wild head explosion or elegant, practical depiction building of hell itself, here are some great examples of expert practical effects that are more than worth your time.
Without further ado...
Possession: Are we going to talk about the demonic tentacle monster in the room?
Pans Labyrinth
House of the Devil: Maybe a stretch but with the Greta head shot and blood moon ritual it earns it.
X Trilogy
Scanners: The ultimate head blow up
Talk to Me: When they say smash up heads, they mean it
Antrum
Maniac
Eraserhead
Oddity
Abagail
Barbarian
Friday the 13ths
The House That Jack Built
American Werewolf in London
Night Breed
Love Lies Bleeding:Two words: "Dave Franco"
High Tension
From Beyond: The ultimate practical effect face
Comment with any we forgot to mention... Or else (we might even add it to the honorable mentions list)!