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Malignant (2021)

111 min · Horror, Modern-Day Fantasy, Mysterie, horror film, thriller film

Popularity5/5
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2025-09 to 2026-08

A woman haunted by visions of murder discovers a terrifying secret hidden within her own body.

The story

Madison Mitchell, a woman living in Seattle, begins experiencing terrifying visions of people being murdered in real-time. After a violent altercation with her abusive husband leads to a head injury, her visions intensify. As she navigates the aftermath of the attack, she is joined by her sister, Sydney, and must deal with the escalating sense of dread. When a local woman is kidnapped and Madison begins to see a mysterious figure in her visions, she must uncover the truth behind her own past and the source of the violence she is witnessing.

Full plot (contains spoilers)

In 1993, a patient named Gabriel with supernatural abilities is deemed a 'cancer' and hidden away. Twenty-seven years later, Madison Mitchell lives in Seattle with her abusive husband, Derek. After a violent confrontation, Madison is injured and begins experiencing visions of a killer. She is eventually reunited with her sister, Sydney, and they begin investigating Madison's past. They discover that Madison was adopted and that her 'imaginary friend' Gabriel was actually a parasitic twin brother who was surgically sealed inside her skull. When the truth is revealed, Gabriel takes control of Madison's body to commit a series of murders. After a final confrontation where Madison regains control and mentally seals Gabriel away, she is reunited with her biological mother, Serena, while the truth of her condition remains a hidden secret.

First release year
2021
Runtime (minutes)
111
Production countries
United States
Original languages
English
Directors
James Wan
Writers
Akela Cooper · screenplay; James Wan · story; Ingrid Bisu · story; Akela Cooper · story
Cast and characters
Annabelle Wallis · Madison Mitchell; Maddie Hasson; George Young; Michole Briana White; Jacqueline McKenzie
Genres
horror; thriller
Themes
parasitic twinning; identity; domestic violence
Tone and mood
gory; bonkers; zany
Setting
Seattle, present day.
Premise and plot tags
body horror; supernatural; serial killer
Content notes
violence
Reception
The film received positive reviews from critics and is considered a cult classic, though some critics noted its 'bonkers' and 'ridiculous' nature.
Reported review scores
Rotten Tomatoes · score: 76% · scale: percentage · review count: 172; Metacritic · score: 51 · scale: 100 · review count: 23; CinemaScore · score: C · scale: A+ to F
Production trivia
The film was inspired by the medical anomalies of Edward Mordake.; It was influenced by the works of Italian horror filmmaker Dario Argento.; The film was not based on the graphic novel Malignant Man.
Catalogue themes and tags

2019, 2020, Abortion, Evil Twin, Rach, Seattle, Series of Murders, Siamese Twins, Violent Husband, Visions, supernatural

Film metadata comes from the open sources listed in Credits & Contact. Catalogue details may be incomplete.

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