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Is Ensuring Your Place in Hell worthwhile? I heard similar descriptions of Gateway Meat which I tracked down recently and was entirely unimpressed.
Black Metal Veins was perhaps the most disturbing film I have seen recently. Despite the handful of staged scenes, it was pretty unnerving to see the toll heroin took on the subjects. Raven was, for lack of better terms, deflated and covered in open sores by the later segments yet completely unfazed and upbeat which was disconcerting even separate from the other events in the film. Intravenous whiskey was an interesting concept though. The 50's version of Death of a Salesman was quite disturbing too because it seems to be the most relatable horror film.
Serbian Film, Cannibal Holocaust, Salo, Men Behind the Sun, Nekromantik, and the like were too well made to call disturbing, I would just consider those to be good films.
The August Underground films, the Guinea Pig films, Gateway Meat, etc. were fun to watch as gore reels, but far more entertaining than disturbing. The same is true for most of the older Mondo films; interesting to watch, but nothing remarkable.
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